Errors Processing Specialist
About The Position
The Error Processing Specialist is responsible for supporting the revenue cycle through accurate and timely billing operations, error resolution, and account follow-up. This role focuses on ensuring clean claim submission, maintaining data integrity, and resolving issues that may delay reimbursement. Key focus areas include eligibility and insurance verification, payor portal utilization, front-end billing processes, professional communication, and effectively managing high-volume workloads. The ideal candidate is detail-oriented, proactive, and capable of working efficiently in a fast-paced environment while maintaining compliance with all regulatory requirements.
Requirements
- Minimum of 3 years of medical billing experience (pathology billing experience preferred)
- High school diploma or equivalent required
- Advanced knowledge of PPO, HMO, IPA, CMS, Managed Medicaid, and Managed Medicare plans
- Working knowledge of CPT and ICD coding
- Strong understanding of insurance eligibility and benefits verification
- Proficiency in payor portal utilization and navigation
- Knowledge of front-end billing processes and workflows
- Demonstrated professional phone etiquette
- Proven ability to manage high-volume workloads efficiently while maintaining accuracy
- Detail-oriented with a proactive, positive approach to problem-solving
- Ability to collaborate effectively in a team environment
- Strong organizational skills with the ability to manage multiple priorities and adapt to changing demands
- Excellent written and verbal communication skills
- Strong documentation, research, and issue resolution capabilities
- Ability to multitask in a fast-paced, high-volume, results-driven environment
- Proficiency in reading and interpreting Explanation of Benefits (EOBs)
- Proficient in Microsoft Office Suite, with advanced skills in Excel and Word
Nice To Haves
- pathology billing experience preferred
Responsibilities
- Answer and appropriately direct incoming phone calls
- Respond to emails promptly and professionally
- Maintain an organized and up-to-date work queue in alignment with manager-defined timeframes; consistently meet daily KPIs
- Update patient demographics and insurance information as needed
- Review and resolve daily Error Processing worklists (e.g., invalid addresses, missing authorizations, undetermined eligibility) in a timely manner
- Perform eligibility and insurance verification to ensure accurate billing and reimbursement
- Utilize payor portals to review claim status, verify benefits, and resolve issues
- Execute front-end billing processes, ensuring clean and accurate claim submission
- Communicate effectively with clients, patients, and insurance carriers
- Demonstrate professional phone etiquette in all interactions
- Refer qualifying accounts to third-party collection agencies as appropriate
- Maintain strict adherence to HIPAA regulations, including when accessing client portals
- Proactively identify clearinghouse rejection trends and escalate findings to management
- Effectively manage a high-volume workload while maintaining accuracy and productivity standards
- Perform additional duties as assigned
Benefits
- 401(k) includes an employer match up to 4%
- Robust health plans including dental, vision, life, and mental health support.
- Offer generous annual vacation and sick time
- 10 paid holidays
- Annual scrub allowance for Lab roles
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
