Laboratory Billing Coordinator

Position Purpose:

This position is accountable for the billing and collections of Laboratory services maximize reimbursement for those services rendered, review and audit reference lab charges, workqueues, and audit files in relation to billing issues.  This position will primarily handle some insurance billing issues, correcting errors, educating staff, as well as client billing issues in relation to the Renown Laboratory.  This position is responsible for following up with physicians regarding items holding up accounts in coding including orders, diagnosis, etc.  Responsible for researching and working with departments, revenue integrity and billing regarding accounts that are hitting coding work queues for edits.

Nature and Scope:

High standards of courteousness, performance, and respect for confidentiality are essential.

This position has intermittent contact with patients, family member’s, insurance companies, physician offices, clients, and various hospital department personnel. The majority of this contact is done on the phone, and phone etiquette is required. A portion of this contact is done in the office, as patients or other office personnel may need to speak to you in person.

This position must keep up on changes involving billing, policies and procedures and provide support/help to all other laboratory representatives.  This position will work with contracting to develop and keep an up-to-date list of current insurance providers for the department in order to support laboratory staff.

This position is the primary point of contact for billing issues in relation to the Renown Laboratory.  This includes but is not limited to; working billing claim edits, medical necessity, registration errors, denials, HIS workqueues, ICD-9 resubmissions, insurance errors, and adding on verbal requests for testing.  This position is also the primary person responsible for all client billing, collection and posting of payments, reconciliation of accounts, review of reference lab bills, building new clients in LIS, and building new tests in LIS and AR system.  This position will investigate/audit any billing issues in the LIS and HIS systems and will develop a working relationship with the CBO and accounting department.

This position has the authority to work within established guidelines, solve problems as they may arise, and schedule work time for each different aspect of the job. Overtime may be required.

This position does not provide patient care.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications:  Requirements - Required and/or Preferred

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. Associates degree preferred.  Medical billing and coding certification or course work preferred.

Experience:

Two (2) years previous experience working in a health information management department, education in an HIM program will be considered in lieu of experience.  Previous coding experience working with National Correct Coding Initiative (NCCI) edits, physical queries and delinquency follow up.  Experience with electronic medical records preferred.

License(s):

Current State of Nevada license for Laboratory Assistant preferred.

Certification(s):

CCA and / or CPC and / or CCS preferred.

Computer / Typing:

Must be computer literate in Windows and Microsoft Office. Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, and learn SCC A/R module within 6 months of hire.