Regional Lab Billing Specialist

Job description

Employment Type: Full time Shift: Day Shift Description: Position can be based out of Des Moines, Mason City or Dubuque. Provides charge entry, insurance expertise , registration, and customer service to assist the laboratory department and patient and/or client through the revenue cycle for hospital and outreach accounts . - Maintains functional knowledge of charge entry, CPT, and ICD-10 changes, coding practices, and insurance terminology. - Enters daily department charges, credit or add charges . - M onitor s reports and work queues for appropriate charging , coding/modifiers, transferring charges, correcting charges, reconciling charges, following up on delinquent reports, and problem solving with staff. - Verifies that the diagnosis codes and corresponding laboratory tests meet the medical necessity criteria to assure claims are paid on the first submission . Work with ordering personnel, including physician’s office staff, to resolve any discrepancies and provide education. - Responsible for updating patient registrations as needed by utilizing hospital and laboratory policies and procedures. - Keeps abreast of insurance carrier rules and changes by participating in carrier s...