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Lab Billing Specialist
3 months ago
Physicians’ Primary Care of Southwest Florida is a premier physician owned and managed primary care practice with locations in Cape Coral, Fort Myers, and Lehigh Acres. We are currently seeking a Lab Billing Specialist to join our Central Billing team in Cape Coral.
Sample of Duties:
- Provide excellent customer service (friendly, courteous and helpful) to both our internal and external customers.
- Trains and supports front desk at the main lab on verifying patient insurance benefits and obtaining authorizations if applicable. Monitors for compliance.
- Answers patient billing questions and concerns, either by phone or through written correspondence. Acts as liaison between patient and reference labs when needed. Corrects PPC billing errors when authorized.
- Reviews accounts of scheduled patients at the main lab to ascertain outstanding balances. Determines amount that patient will pay at time of visit and notifies patient prior to appointment as needed. Notifies front desk of expected patient payments.
- Establishes payment plan agreements with patients. (refer to Payment Plan Agreement policy)
- Monitors coding and billing for any errors or inconsistencies and makes corrections when authorized.
- Communicates with Provider’s Medical Assistants on obtaining proper diagnosis at ordering. Provides support and education as needed.
- Work payments, Adjustment and refund reports not posted at CPT level daily.
- Monitors, updates and maintains the reference lab portals (LabCorp and Quest). Notifies manager if incorrect coding patterns emerge.
- Stays up to date on payer’s rules, regulations and guidelines.
- Maintains strict confidentiality
Position Requirements:
- Two years of experience in revenue cycle in a health care organization
- Must have knowledge of CPT, ICD and proper use of modifiers.
- Skill in defining problems, collecting data, interpreting billing information
- Ability to handle all interactions in a professional, friendly and compassionate manner
- Ability to perform mathematical computations and compute ratios and percentages
Benefits Offered:
- Over 27 years growing with and supporting our communities
- Award-winning physicians
- Ability to grow within the organization
- Health, dental, vision, disability and life insurances
- 401(k) with company match and financial advising services
- Paid Time Off (PTO)
- Paid holidays
- Employee Assistance Program (EAP)
- Employee Resource Assistance Program (ERAP)
- Employee appreciation events and gifts
