Supervisory Duties:

None Duties/Responsibilities:

Support and practice the Mission, Vision and Values of Ruby Valley Medical Center.
Review and submit laboratory charges accurately and timely.
Verify patient demographics, insurance coverage, and billing information prior to claim submission.
Ensure laboratory services are billed using appropriate CPT, ICD-10, and HCPCS codes when applicable.
Identify, investigate, and resolve billing edits, claim denials, and payment discrepancies.
Work with providers, laboratory staff, and the revenue cycle department to correct billing errors and missing documentation.
Monitor laboratory billing reports to identify trends and opportunities for process improvement.
Respond to patient and insurance inquiries regarding laboratory charges in a professional and timely manner.
Maintain compliance with Medicare, Medicaid, commercial payer guidelines, HIPAA, and organizational policies.
Assist with audits and provide supporting documentation as requested.
Maintain current knowledge of laboratory billing regulations, coding updates, and payer requirements.
Perform other duties as assigned.
Other duties as assigned.

Healthcare Centered Around You Minimum Qualifications and/or

Licensure:

Healthcare experience preferred
High school diploma or equivalent required
Associate degree in related field preferred

Knowledge and Skills Required:

Excellent verbal and written communication skills.
Excellent interpersonal skills.
Regulatory guidelines
Excellent organizational skills and attention to detail.
Knowledge of departmental policies and procedures
Confidentiality and patient rights
Knowledge of medical terminology
Knowledge of anatomy preferred

Physical Requirements:

Sitting, standing, bending, reaching
Moderate lifting of less than 20 pounds

Signature:

_______________________________________

Date:

__________________________

Print Name:

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