CODER/BILLER - LAB - FULL TIME

Job Description

General Summary:

Responsible for ensuring proper codes are used in order to maximize returns.

Works under the supervision of the office manager

Principal Duties & Responsibilities:

Example of Essential Duties:

Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims

Responsible for creating reimbursement claims and transfer to Medicare/third party payers

Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works.

Responsible for communicating with Physician and their office billing/coding issues.

Responsible for submission for paperwork to insurance when required.

Responsible for e Clinical works billing processes and workflows.

Assist patients and PARs with patient billing issues

Responsible for communicating coding/billing issues with Laboratory Management.

Other Essential Duties May Include (but are not limited to):

Provides support to front desk personnel by answering phones, scheduling appointments, etc.

Other duties as assigned

Knowledge, Skills & Abilities Required:

Required:

Must be disciplined, organized, detail orientated and practice excellent customer service and phone skills.

Knowledge of ICD9, ICD10 and CPT codes and manuals required

Previous experience with medical claim entry/processing

Experience with medical insurance carrier requirements and processes

Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame

Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed

Demonstrates adaptability to expanded roles.

CPC or CCS-P or able to pass Toledo Clinic’s comprehensive coding test

Preferred:

Medical Billing & Coding/Insurance diploma and certification

Education:

HS diploma or GED required.

Full-time