Laboratory Billing Coordinator

BMC Software • Boston, MA

1d • $22 - $31

About The Position

Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. POSITION SUMMARY: Under the general direction of the Laboratory Administrative Director and the Manager of Laboratory Revenue Integrity, the Laboratory Billing and Information Systems Coordinator assists in administrative operations with the laboratory information system and hospital information system and optimizes hospital reimbursement by ensuring complete and accurate information is available for billing for laboratory services.

Requirements

• Associate’s degree (or equivalent combination of formal education and experience) in Health Information Management, nursing, a medical coding or healthcare related field, preferred.
• At least three years’ experience with ICD coding process and diagnostic codes in an acute care hospital setting.
• Work requires proficiency in the use of data management tools and software applications.
• Work requires ability to learn, understand and utilize moderately complex billing codes and regulations.
• Work requires ability to learn, understand, and utilize multiple information systems.
• Knowledge of clinical laboratory terminology required.

Nice To Haves

• Bachelor’s degree is a plus.
• Prefer coding experience in a laboratory medicine environment.
• Knowledge and experience with laboratory and hospital information systems preferred.

Responsibilities

• Performs billing processes for Outreach Locations- including patient record creation, registrations, unit charge entry, & preparation of daily billing reports
• Addresses unbillable laboratory accounts- includes simple visit coding, service dates out of range, and miscellaneous lab billing
• Acts as liaison with all practice managers to create billing processes which ensure proper ICD-10 coding to justify laboratory tests ordered by clinicians.
• Enters ICD-10 diagnosis codes into the billing system for specific accounts.
• Communicates with the billing staff about coding issues as needed.
• Demonstrates or acquires knowledge of the ICD-10 coding process and regulations.
• Creates daily and weekly processes to ensure that billing edits are reconciled and charges are released for billing.
• Creates a weekly report and/or consolidated report as requested for the Administrative Director and Manager of Laboratory Revenue Integrity which lists outstanding charges that haven't been released.
• Creates procedures and assists with training of laboratory support staff and laboratory technical staff to ensure accurate entry of data in laboratory information systems and hospital information systems.
• Works with 3rd party payors and government insurers to secure prior-authorization for certain laboratory tests (i.e. molecular genetics)
• Works with clinical services to secure and manager prior-authorizations for laboratory tests, gathers patient clinical information and demographics. Ensures commitments for payment are documented and secured
• Performs billing processes for Outreach Locations- including patient record creation, registrations, unit charge entry, & preparation daily billing reports
• Assists with Lab Medicine Website maintenance
• Assists with Lab Test Utilization activities
• Assists with annual CPT updates
• Serves as the lead for the department’s customer service team, particularly during down-time or emergency response
• Responds to calls, supports results reporting, liaises closely with laboratory administration
• Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided.

Benefits

• BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees