Medical Laboratory Tech. LIS Billing Coordinator

Responsibilities

• Responsible for reviewing bulletins and monitoring publications for coding and billing updates.
• Demonstrate knowledge of Medicare and commercial insurance coverage guidelines and medical necessity justification for laboratory procedures.
• Proactively monitor specific tests known to create billing problems.
• Assist with educating referring physicians and staff to ensure accounts are coded and billed correctly.
• Assist in maintaining accurate charge master for laboratory procedures.
• Reviews edits and controllable write-offs and examines existing processes and problems and continuously looks for ways to improve existing processes.
• Attend Revenue Compliance and Controllable Write-off meetings with management.
• Reviews daily exception reports and makes corrections.
• Monitors temporary Laboratory Specimen accounts.
• Corrects and codes all miscellaneous testing charges for reference labs as well as auditing bills in comparison to incoming reference lab charges.
• Assists in regular review of the laboratory charge master.
• Oversees and coordinates all Laboratory Information System related activity in the different Laboratory sections including general lab, Microbiology, Blood Bank and Pathology or any other Laboratory system that is implemented.
• Coordinates activity with Hospital Information System applications, working with the Laboratory Information System Analyst in the IT department.
• Assures the Laboratory Information System operates accurately and efficiently with minimal errors, problems, or disruption of services.
• Addresses hardware issues, such as printers, terminals, keyboards to assure staff have working equipment. Assures quick repair or replacement of dysfunctional hardware.
• Works with the Laboratory Information System Analyst to maintain pricing database, including in-house and reference lab testing. Review new pricing lists for send-out labs and blood suppliers and updates CPT codes and pricing in a timely manner.
• Works with the Laboratory Information System Analyst to assure all manual charges are input in a timely manner.
• Works with the Laboratory Information System Analyst in resolving billing edits and discrepancies. Assures all rejected charges are resolved.
• Keeps Laboratory management aware of system problems and recommends resolution with prompt action taken if so directed.
• Verifies accuracy of the system by performing scheduled audits of each required function or area.
• Assures instrument interfaces are performing accurately and efficiently.
• Assures interface between Hospital Information System and Laboratory Information System performs accurately and efficiently requiring minimal downtime.
• Reviews hospital system and lab system reports to assure all tests are resulted, reported, charged and/or cancelled/credited as appropriate.
• Keeps database updated as the needs of the laboratory change.
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Works with department supervisors and/or super users to build new and change existing tests in the database, including, but not limited to: normal ranges, units of measure, label information, pricing, performing department/reference laboratory, charting, and interfacing to other systems.
• Maintains and updates database for reference laboratory testing and interface functions.
• Installs software updates and works with Laboratory Information System Analyst and Department Supervisors in validating expected documentation in a timely manner.
• Serves as the primary contact in the lab for all computer-related matters.
• Informs the laboratory management of new or available products and training for Laboratory Information System related activities.
• Helps Laboratory Information System Analyst to maintain Laboratory Information System operating manuals, policies, tests requests/ reports to ensure compliance with regulatory agencies.
• Maintains a downtime log, recording all downtime issues for Laboratory Information System.
• Oversees training of lab personnel on the Laboratory Information System. Evaluates and ensures competency of personnel as related to the laboratory computer system.
• Develops, conducts and/or coordinates Laboratory Information System training programs for all employees.
• Prepares training and educational materials. Provides continuing education as needed.
• Assures daily operation reports which satisfy the needs of the Department Supervisors, Pathologists and Laboratory Management are available and timely.
• Assures statistics are accurate and timely for required reports.
• Assures policy and procedure manuals are completed, updated, and reviewed as necessary.
• Works with Laboratory Information System Analyst and Laboratory Management to submit service requests to Laboratory Information System vendor for software changes and improvements. Acts as a liaison between the end user and the vendors.
• Analyze and troubleshoot computer issues including interface, peripherals, database files and tables. Identifies and assists the hospital IT department to resolve problems relating to any computer issues for all Laboratory Information System…