Specialist-Lab Billing

Spartanburg Regional Medical Center • Spartanburg, SC

79d

About The Position

The Lab Billing Specialist assists with laboratory billing-related activities to ensure billing for laboratory services complies with regulatory standards. This role works with all areas of lab billing and 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
• Good knowledge of CPT, HCPCS, and ICD-9/10 codes
• Good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes
• 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
• Good knowledge of CPT, HCPCS, and ICD-9/10 codes
• Good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes
• 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

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees