Position Summary

Assists with laboratory billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Billing Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely. Responsibilities vary based on department need.

Minimum Requirements

Education

• High School graduate with 2 years’ experience in a similar position
• National Coding Certification by AAPC

Experience

• Two years of experience in Medical Billing and Coding
• Proficiency in use of Microsoft Office applications
• Must have good knowledge of CPT, HCPCS, and ICD-9/10 codes
• Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes.
• Be familiar with multiple payer requirements for claims processing
• Good communication Skills

License/Registration/Certifications

• National Coding Certification AAPC

Preferred Requirements

Preferred Education

• High School graduate with 4 years’ experience in a similar position
• National Coding Certification by AAPC

Preferred Experience

• Four years of experience in Medical Billing and Coding
• Proficiency in use of Microsoft Office applications
• Must have good knowledge of CPT, HCPCS, and ICD-9/10 codes
• Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes.
• Be familiar with multiple payer requirements for claims processing
• Good communication Skills

Preferred License/Registration/Certifications

• National Coding Certification AAPC

Core Job Responsibilities

• Submit private/commercial insurance claims with proper documentation in a timely manner
• Review and submit self-pay claims as created
• Utilize Medicare DDE system to correct errors on Medicare claims
• Batch and key all reimbursements received
• Compile and respond to all reimbursement inquiries
• Investigate and resubmit all unpaid balances to appropriate insurance carrier
• Posts all payments
• Updates check logs as checks are deposited and reconciles with deposit report at the end of month
• Process refunds as needed
• Initiates action to manage accounts, i.e. collections, write off
• Maintain accurate, systematic accounts receivable process
• Other Duties As Assigned