Billing Account Representative

CompuNet Clinical Laboratories•Moraine, OH
•Hybrid

About The Position

Under the supervision of the Billing Department Manager, this role performs daily account processing tasks for the Billing Department, including cash application, batch processing, and account adjustments/refunds. The position requires maintaining positive internal and external working relationships with patients, clients, and third-party payers.

Requirements

  • High school graduate or equivalent required.
  • Visual acuity and hand-finger dexterity to work at computer for extended periods.
  • Ability to sit at computer work station for extended periods.
  • Sound reasoning ability and independent judgment.
  • Ability to work within specified deadlines and timetables.
  • Excellent communication and people skills.
  • Ability to handle stressful situations in a calm manner.
  • Familiarity with and adherence to safety, ergonomic, and health policies of the Company.
  • Compliance with all PPE requirements when in the laboratory or other biohazard areas.
  • Completion of required safety training and health evaluations in a timely manner.
  • Ability to anticipate safety hazards, act upon unsafe situations and promote safety awareness.

Nice To Haves

  • Previous experience in a medical billing environment preferred.
  • Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPS/CPT coding and medical terminology highly desirable.
  • Ability to handle fast paced, high call volume environment with above average multi-tasking skills.
  • Knowledge of reading and understanding various payer’s Explanation of Benefits.

Responsibilities

  • Maintain organized workflow for efficient processing of accounts and smooth transition of job duties during absences.
  • Follow department standard processes and consult with supervisor for account processing questions.
  • Exhibit good customer service skills with internal and external customers, projecting a positive image of the department and organization.
  • Actively engage in behaviors that foster teamwork within the department and organization.
  • Meet or exceed department standards for quantity and quality of work.
  • Possess working knowledge of relevant compliance regulations and effectively apply this knowledge to daily job duties.
  • Comply with all departmental, company, and regulatory policies and procedures.
  • Maintain statistical data as required.
  • Perform order entry accurately.
  • Collaborate with internal and external departments and handle patient/client calls.
  • Batch incoming payments for posting to patient and physician accounts.
  • Report deposit discrepancies to the bank.
  • Maintain a report of posted and in-transit cash for the Accounting Department.
  • Apply payment detail to client and patient accounts, including contractual disallowances and patient copays/deductibles.
  • Review overpayments, initiating refunds or correcting misapplied payments as appropriate.
  • Process incoming patient mail and telephone inquiries accurately and in a timely fashion as outlined in the Department SOP.
  • Utilize verbal and written communication effectively with a strong focus on positive customer impact.
  • Review bankruptcy notices and perform appropriate write-offs of outstanding accounts; maintain bankruptcy files.
  • Research collection accounts as requested by patients or collection agencies.
  • Review system error codes and make corrections to accounts.
  • Perform additional duties and projects as assigned.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Company paid life Insurance
  • 403b match
  • Paid holidays
  • Vacation time
  • Sick time
  • Personal time
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