Senior Billing Specialist

1 week ago


Greensboro, North Carolina, United States Cone Health Full time
About the Role

The Billing Specialist Senior plays a crucial role in ensuring the accurate and compliant maintenance of charges between charging departments and Revenue Integrity at Cone Health. This position provides support in various aspects of laboratory business, including outreach customer management, laboratory billing, coding, reconciliation, and resolution of billing discrepancies.

Key Responsibilities
  • Conduct laboratory billing, coding, and reconciliation of billing discrepancies.
  • Assist with audits of laboratory coding as necessary.
  • Complete daily assignments in the hospital information system's work queue for billing.
  • Submit requests for proper lab charging through the Charge Master Description process.
  • Conduct an annual review of laboratory coding and identify necessary changes or updates.
  • Assist with unusual billing issues to the responsible party and ensure resolution.
  • Create monthly billing invoices for Outreach customers.
  • Develop and maintain relationships between Cone Health Laboratories and Outreach Customers, providing assistance during regulatory inspections.
  • Identify problems and opportunities for improvement, propose appropriate solutions, and involve others in the implementation process.
Requirements
  • 2+ years of professional experience in a hospital laboratory setting and/or healthcare setting.
  • Bachelor's Degree in Hospital Administration, Business Administration, Laboratory Science, or a related field.
  • Preferred: Medical coding and billing certification.


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