Lab Billing Specialist

Spartanburg Regional Healthcare System•Spartanburg, SC

39d

About The Position

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.

Requirements

High School graduate with 2 years' experience in a similar position
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

Nice To Haves

High School graduate with 4 years' experience in a similar position
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
National Coding Certification AAPC

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