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Laboratory Billing Assistant

Company: Methodist Health System
Location: Omaha
Posted on: August 8, 2022

Job Description:

  • Purpose of Job
    • Responsible for laboratory billing functions including registration, entering patient demographics, verifying insurance eligibility using Healthcare information systems and databases and entering manual charges.
    • Job Requirements
      • Education
        • High School Diploma or equivalent required.
        • Experience
          • Experience using healthcare information systems and databases preferred.
          • Medical office and/or insurance experience preferred.
          • Cerner experience preferred.
          • License/Certifications
            • N/A
            • Skills/Knowledge/Abilities
              • Skill organizing and prioritizing work.
              • Demonstrated relationship management skills.
              • Skill solving problems and accurately completing work.
              • Skill with verbal and written communication.
              • Ability to effectively work in a team environment.
              • Ability to define problems, collect data, establish facts, and draw valid conclusions.
              • Skill managing work time and priorities.
              • Ability to accurately enter alphanumeric data.
              • Able to effectively deal with uncertainty, and complex situations.
              • Ability to work with people effectively and work under pressure.
              • Ability to learn specialized terminology of a medical laboratory.
              • Ability to use Microsoft Windows.
              • Essential Job Functions
                • Essential Functions I
                  • Process patient orders, and billing in a manner to ensure accurate, and timely testing by following section policies and procedures.
                    • Maintains compliance with established processes, and achieves section/organization quality goals.
                    • Knowledgeable in Revenue Cycle Management registration, and use of multiple information systems to accurately select, and submit appropriate information.
                    • Accurately performs, verifies, and evaluates appropriateness on patient demographic, and insurance information.
                    • Prioritizes, and organizes work to facilitate the timely, and accurate completion of multiple tasks simultaneously by assessing the urgency of the tasks, and the time required to complete them.
                    • Identifies problems, and initiates immediate follow-up as necessary with the Manager, Service Leader, or Medical Director(s) to ensure accurate, timely laboratory services by using critical thinking skills, and decisive judgment.
                    • Accommodates patient, and laboratory needs by professionally responding to requests for flexibility in duties, schedules, and staffing.
                    • Bills and posts charges, prepares and posts manual charges, and follows up on denial reports and problem resolution.
                    • Contacts Physicians or Clinics for clarification of clinical information as appropriate for account type as necessary.
                    • Participates, and assists with audits to capture lost revenue, and determine accuracy of billing as necessary.
                    • Ensures all payer sources, commercial and governmental, are verified eligible.
                    • Documents orientation, training, and education to ensure employee competence, the provision of services, and to meet accreditation requirements by effective verbal or written communication.
                      • Organizational, and department competencies are completed 100% of the time.
                      • Evidence that new procedures, and major procedure revisions are read, and understood.
                      • Assists in training new, and existing staff including the review, and completion of orientation checklists, and skill/training checklists.
                      • Supports the education of clinical/anatomical laboratory scientist students.
                      • Communicates efficiently by answering telephones, taking messages, calling clients for test clarification, and forwarding information or calls to appropriate staff.
                        • Utilizes appropriate communication skills as directly observed by Lab Billing Coordinator or designee.
                        • Maintains and encourages open communication internally and externally.
                        • Brings issues and concerns directly to the appropriate supervisor's attention as directly observed.
                        • Utilizes time efficiently and effectively to complete assignments and assist co-workers as needed by adhering to time management and teamwork principles.
                        • Assists in the training of new employees to the section to ensure high quality of services by working at specific functions with the new employee until he/she is self-sufficient with the function procedure.
                        • Phone calls are acted upon promptly and handled in a professional manner per the customer service protocol as directly observed.
                        • Supports Pathologists with any office related requests.
                        • Essential Functions II
                          • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
                          • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
                          • Other duties as assigned.

Keywords: Methodist Health System, Omaha , Laboratory Billing Assistant, Healthcare , Omaha, Nebraska

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