Billing Specialist (4817)

Position Summary:

The Billing Specialist supports laboratory operations by ensuring timely, accurate, and compliant billing for diagnostic services. This role processes claims, addresses billing inquiries, and works collaboratively with the Business Office, IT teams, and laboratory staff to resolve issues that may affect reimbursement or claim accuracy. The Billing Specialist helps maintain organized billing workflows by verifying required information and supporting consistent revenue cycle processes. Through strong attention to detail, clear communication, and reliable follow-through, the position plays an important role in supporting the financial integrity and operational effectiveness of laboratory services.

Key Responsibilities:

• Prepare, submit, and monitor laboratory claims to ensure timely and accurate billing in accordance with payer regulations and organizational policies.
• Review billing data for accuracy, identifying and correcting errors or missing information to support clean claim submission.
• Respond to inquiries from patients, staff, and external parties regarding billing questions, providing clear and courteous communication.
• Collaborate with IT and Business Office teams to troubleshoot system issues, resolve claim barriers, and support workflow improvements.
• Maintain organized records, documentation, and billing logs to support compliance, audit readiness, and efficient operations.
• Participate in process improvement initiatives to enhance billing accuracy, workflow efficiency, and customer service.

Licenses and Certifications Required:

• None

Educational Requirements:

• High school diploma or equivalent preferred.

Experience Requirements:

• Office/clerical experience required, preferably billing or insurance claim processing.
• Computer experience required.

Special Skills or Training Requirements:

• Effective communication skills required.
• Ability to type quickly and accurately required.
• Medical terminology and coding knowledge helpful, but not required.

Physical Requirements:

The Billing Specialist works primarily in an office environment with prolonged periods of sitting, computer use, and keyboarding. The role may require occasional standing, walking, and light lifting of files, binders, or office supplies. Adequate vision, hearing, and communication skills are essential for reviewing detailed billing information and interacting with patients and staff.

Environmental Requirements:

Work is performed in a standard office or administrative setting with routine exposure to computers, office equipment, and typical noise levels. The role involves managing confidential patient and financial information and requires strict adherence to privacy regulations and organizational policies. Occasional interactions with laboratory areas or other departments may occur to resolve billing related questions or workflow issues.