Laboratory Coding and Billing Specialist
About The Position
The Laboratory Billing Analyst/Specialist is responsible for supporting laboratory revenue cycle operations by ensuring accurate, timely, and compliant billing for hospital, outreach, reference client, and non-patient accounts. This role manages billing transactions, account setup and maintenance, charge entry and reconciliation, claim review, reimbursement analysis, payer follow-up, and regulatory compliance activities. The position serves as a key resource for patients, providers, clients, payers, and internal departments, resolving billing inquiries and supporting revenue integrity through accurate documentation, coding validation, audit support, and process improvement initiatives. The Laboratory Billing Analyst/Specialist also generates reports, analyzes billing performance, identifies opportunities to improve operational efficiency and reimbursement outcomes, and maintains strict adherence to organizational, regulatory, and confidentiality standards while delivering exceptional customer service.
Requirements
- Associate degree in Healthcare Administration, Medical Billing and Coding, Laboratory Science, Business, Health Information Management, Computer Science, or related field, required.
- Minimum two years of experience in healthcare billing, coding, revenue cycle, laboratory operations, insurance processing, or related healthcare financial services.
- Strong understanding of CPT, HCPCS, ICD-10, modifiers, and laboratory billing requirements.
- Knowledge of medical necessity regulations and reimbursement methodologies.
- Proficiency with Microsoft Excel and revenue cycle reporting tools.
Nice To Haves
- Experience with laboratory information systems (LIS), electronic medical records, and billing systems preferred.
- Experience with Medicare, Medicaid, and commercial payer billing requirements preferred.
Responsibilities
- Supporting laboratory revenue cycle operations
- Ensuring accurate, timely, and compliant billing for hospital, outreach, reference client, and non-patient accounts
- Managing billing transactions, account setup and maintenance, charge entry and reconciliation
- Conducting claim review, reimbursement analysis, and payer follow-up
- Performing regulatory compliance activities
- Serving as a key resource for patients, providers, clients, payers, and internal departments
- Resolving billing inquiries
- Supporting revenue integrity through accurate documentation, coding validation, audit support, and process improvement initiatives
- Generating reports and analyzing billing performance
- Identifying opportunities to improve operational efficiency and reimbursement outcomes
- Maintaining strict adherence to organizational, regulatory, and confidentiality standards
- Delivering exceptional customer service
Benefits
- Medical
- Dental
- PTO
- 401k
- Employee discounts
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
