Medical Billing Office Specialist

Pathology Group of Louisiana•Baton Rouge, LA

1d•Onsite

About The Position

At Pathology Group of Louisiana (PGL), our mission is to provide the finest quality pathology services with the greatest accuracy, cost-effectiveness, and speed. We are seeking a highly skilled, cross-functional Business Office Floater to join our Revenue Cycle team. This role is crucial for providing coverage, managing workload peaks, and ensuring operational continuity across various business office functions. The ideal candidate will seamlessly transition between Front Desk, Data Entry, Remittance Processing, Customer Service, Insurance Collections, and Accounts Receivable.

Requirements

High school diploma or equivalent required.
Minimum of 5 years of experience in a medical billing office, revenue cycle, or related healthcare business operations role.
Demonstrated experience across multiple revenue cycle functions (data entry, customer service, collections, and/or remittance processing).
Proficiency in typing and 10-key data entry.
Strong knowledge of medical terminology, EOBs, ERAs, payer rules, denial codes, and provider-level adjustments.
Proficiency in Microsoft Office applications, including Outlook and Excel.
Experience working in multiple billing software systems.

Nice To Haves

Broad cross-training or demonstrated versatility across all Business Office functional areas.
Experience with remittance reconciliation tools or automation systems.
Familiarity with PGL systems including ACS, PGL MPI, and affiliated hospital portals.
Prior experience in a high-volume, multi-specialty pathology or laboratory billing environment.
HIPAA-compliant payment data handling experience.
Strong interpersonal skills and ability to adapt quickly to changing assignments and team needs.
Exceptional organizational skills and ability to manage multiple priorities simultaneously.

Responsibilities

Answer and manage a multi-line switchboard professionally, adhering to PGL Customer Service and Telephone Call Handling protocols.
Direct calls, take accurate messages, and relay them to the appropriate PGL recipient.
Provide excellent customer service to guests and clients, responding clearly to inquiries in person and over the phone.
Issue visitor badges/access and maintain visitor logs.
Receive, log, and route deliveries and packages.
Complete and store daily logs of front desk activities.
Verify and update patient personal and payer-related information in the Demographic Queue to ensure accurate billing data.
Perform interactive eligibility checks using state-of-the-art software.
Perform charge capture and balance daily batches, completing required production reports.
Report new facilities, referring physicians, or insurers requiring interface table updates.
Process and post electronic (ERAs) and hardcopy (EOBs) remittance advices accurately across multiple billing platforms.
Reconcile remittances with bank deposits daily.
Escalate payment or remittance issues as needed.
Respond to patient billing inquiries with professionalism and accuracy.
Collect guarantor balances through outbound calls, credit card processing, and payment arrangements.
Reconcile payment batches at the end of each business day.
Update patient accounts affected by bankruptcy status.
Collect outstanding insurance claims for assigned payors.
Research denials and refile corrected claims; research unprocessed claims for resolution.
Monitor reimbursement for assigned payors to ensure contracted fee schedules are followed.
Report issues with claims processing.
Maintain access to all payor-associated websites, hospital sites, and the PGL MPI.
Collaborate with billing and collections teams to ensure consistency in A/R processes.
Collaborate effectively with all team members, Team Leads, and the Director of Revenue Cycle.
Provide support to Data Entry, Customer Service, and other departments as directed.
Maintain access to all systems and platforms required for assigned coverage areas.
Adhere to HIPAA regulations and all PGL confidentiality and compliance standards.
Maintain a high degree of mental alertness and good judgment in establishing priorities.
Recognize and escalate problems to Team Leads and/or management for timely resolution.
Perform other duties as assigned.