Accounts Receivable Processing, Billing, Claims Processing, Communication Skills, Credit and Collections, Current Procedural Terminology (CPT), Direct Data Entry, Documentation, Healthcare Common Procedure Coding System (HCPCS), High School Diploma, ICD-9, Insurance, Insurance Claims, Insurance Documentation, Medical Billing, Medical Coding, Medicare, Microsoft Office, Regulations, Reimbursement, Time Management
Job Requirements
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
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
Preferred Requirements
Preferred Education
- High School graduate with 4 years'' experience in a similar position
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
S
Spartanburg Regional Healthcare System