High standards of courteousness, performance, and respect for confidentiality are essential.
This position has intermittent contact with patients, family member’s, insurance companies, physician offices, clients, and various hospital department personnel. The majority of this contact is done on the phone, and phone etiquette is required. A portion of this contact is done in the office, as patients or other office personnel may need to speak to you in person.
This position must keep up on changes involving billing, policies and procedures and provide support/help to all other laboratory representatives. This position will work with contracting to develop and keep an up-to-date list of current insurance providers for the department in order to support laboratory staff.
This position is the primary point of contact for billing issues in relation to the Renown Laboratory. This includes but is not limited to; working billing claim edits, medical necessity, registration errors, denials, HIS workqueues, ICD-9 resubmissions, insurance errors, and adding on verbal requests for testing. This position is also the primary person responsible for all client billing, collection and posting of payments, reconciliation of accounts, review of reference lab bills, building new clients in LIS, and building new tests in LIS and AR system. This position will investigate/audit any billing issues in the LIS and HIS systems and will develop a working relationship with the CBO and accounting department.
This position has the authority to work within established guidelines, solve problems as they may arise, and schedule work time for each different aspect of the job. Overtime may be required.
This position does not provide patient care.