Coder​/Biller - Lab

Overview

General

Summary:

Responsible for ensuring proper codes are used in order to maximize returns. Works under the supervision of the office manager.

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.

• Provides support to front desk personnel by answering phones, scheduling appointments, etc.
• Other duties as assigned

• Must be disciplined, organized, detail orientated and practice excellent customer service and phone skills.
• Knowledge of ICD9, ICD
  10 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

• Medical Billing & Coding/Insurance diploma and certification

• HS diploma or GED required.