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Billing Specialist-Laboratory

Job Overview

UnityPoint Health Information

Overview

The Billing Specialist prepares bills for services rendered to customers, utilizing standardized source documents and procedures. They maintain customer account records to ensure currency and accuracy of data. Review and work Account Receivables in accordance with standardized company timetables and procedures. Completion of this function will ensure adequate company cash flow and contribute to a favorable public image of UnityPoint Health.

Responsibilities

Data Entry/Record Keeping

• Accurately, efficiently enters patient demographic information, insurance information, laboratory test codes and physician office data into the appropriate computer system.
• Maintains assigned customer account information daily, from source documents provided by the laboratory and the laboratory information system and department receipts.
• Review edit list and customer account status to ensure that documentation needed to support timely payment for goods and services is complete, available, and on files.

Billing

• Regularly prepares assigned billing (including self-pay accounts, secondary payer accounts and third party payer accounts) as indicated by account status and in accord with company billing schedules as well as secondary and third party payer requirements.
• Regularly reviews collection status reports and customer account information and undertakes and documents appropriate collection efforts as specified by company procedures.
• Maintains personal competency with respect to secondary or third party payer coverage and payment practices and requirements.
• Promptly responds to all customers, secondary, or third party payer inquires and documents it. Refers unsolved inquires to Billing/Collection Supervisor.

Other Functions

• Complies with all regulatory agencies’ standards and laws, reviewing laboratory orders for compliance with National and Local Coverage Determinations (NCD and LCD) polices.
• Assists when assigned a specific mission to address in an emergency situation to assist in disaster response and recovery.

Qualifications

Education:

• High School graduate or equivalent.
  

Experience:

• Must be able to type accurately at a minimum speed of 40 WPM. Must be able to use a computer keyboard.

• Medical terminology, CPT and ICD coding experience. Previous medical billing or insurance experience is preferred.