Specialist-Lab Billing Featured Job

Location Spartanburg, SC
Facility Spartanburg Medical Center
Department Lab-Pathology
Schedule - Shift - Hours Full-Time
Job Category Administrative/Clerical
Salary Job Grade 013
Req #: 59998

Summary

Position Summary

Assists with laboratory billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Billing Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely. Responsibilities vary based on department need.

Minimum Requirements

Education

High School graduate with 2 years’ experience in a similar position
National Coding Certification by AAPC

Experience

Two years of experience in Medical Billing and Coding
Proficiency in use of Microsoft Office applications
Must have good knowledge of CPT, HCPCS, and ICD-9/10 codes
Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes.
Be familiar with multiple payer requirements for claims processing
Good communication Skills

License/Registration/Certifications

National Coding Certification AAPC

Preferred Requirements

Preferred Education

High School graduate with 4 years’ experience in a similar position
National Coding Certification by AAPC

Preferred Experience

Four years of experience in Medical Billing and Coding
Proficiency in use of Microsoft Office applications
Must have good knowledge of CPT, HCPCS, and ICD-9/10 codes
Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes.
Be familiar with multiple payer requirements for claims processing
Good communication Skills

Preferred License/Registration/Certifications

National Coding Certification AAPC

Core Job Responsibilities

Submit private/commercial insurance claims with proper documentation in a timely manner
Review and submit self-pay claims as created
Utilize Medicare DDE system to correct errors on Medicare claims
Batch and key all reimbursements received
Compile and respond to all reimbursement inquiries
Investigate and resubmit all unpaid balances to appropriate insurance carrier
Posts all payments
Updates check logs as checks are deposited and reconciles with deposit report at the end of month
Process refunds as needed
Initiates action to manage accounts, i.e. collections, write off
Maintain accurate, systematic accounts receivable process
Other Duties As Assigned

Additional Information

Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through six hospital campuses: Spartanburg Medical Center, Spartanburg Medical Center — Mary Black Campus, Pelham Medical Center, Cherokee Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center. SRHS also includes Ellen Sagar Nursing Center and Woodruff Manor. SRHS provides unparalleled cancer care through Gibbs Cancer Center & Research Institute, with locations in Spartanburg, Greer, Union and Gaffney. The multidisciplinary Medical Group of the Carolinas has more than 600 physicians across Upstate South Carolina and western North Carolina. SRHS employs more than 9,000 associates and offers outpatient surgery centers and a Level I Trauma Center.

Founded on Aug. 29, 1921, as Spartanburg General Hospital, Spartanburg Regional celebrates over 100 years of excellence.