Billing Specialist Exacta Laboratory Systems Sherwood, AR Job Details Full-time 17 hours ago Benefits Health savings account Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Life insurance Qualifications Phone communication

HIPAA ICD-10

Attention to detail Computer skills Patient interaction Clinical confidentiality policies Medical terminology Full Job Description Job Overview We are seeking a highly skilled Billing Specialist for our billing operations to accurately process claims for Medicare and commercial payers.

Job Function:

• Process professional laboratory claims accurately and timely for Medicare and commercial payers in accordance with established procedures and payer requirements.
• Perform assigned billing functions including claim submission, payment posting, insurance verification, accounts receivable follow-up, denial and rejection resolution, appeals, collections, client invoicing, patient balances, and credentialing support as applicable.
• Review accounts and billing activity for inconsistencies, missing information, unresolved balances, processing delays, or other issues requiring follow-up.
• Research billing problems, identify appropriate next steps, and communicate unresolved or recurring issues to the Billing Supervisor or Laboratory Director.
• Maintain accurate patient, payer, client, claim, payment, and accounts receivable information in applicable billing and laboratory systems.
• Use payer portals, electronic billing systems, and internal resources to obtain claim status, eligibility, payment, denial, and other information needed to resolve accounts.
• Communicate professionally with patients, physician offices, healthcare facilities, insurance companies, Medicare and other payers, clients, vendors, and internal departments.
• Respond to billing questions and account concerns in a courteous, accurate, and timely manner; escalate complex or sensitive matters when appropriate.
• Assist with reconciliation, reporting, special projects, process improvement, and departmental performance measures as assigned.
• Work cooperatively with the billing team and other departments to meet daily priorities, maintain workflow, and support departmental goals.
• Maintain organized work, meet assigned deadlines, and follow through on unresolved accounts or assigned tasks.
• Other duties as assigned.

Working Conditions:

Primarily an office and computer-based position with a high-volume workload. Remote work is possible, but limited in scope.

Education/Experience:

• Previous medical billing experience preferred; clinical or reference laboratory billing experience is strongly preferred but may be trainable for an otherwise qualified candidate.
• Experience with Medicare billing is highly desirable; familiarity with commercial insurance billing and professional claims is preferred.
• Experience with accounts receivable, denials, payment posting, insurance verification, collections, claims follow-up, payer portals, and electronic billing systems is preferred.
• Familiarity with CPT, ICD-10, HCPCS, medical necessity, and medical terminology is helpful; this position does not have primary responsibility for medical coding.
• Relevant experience, demonstrated competence, reliability, and ability to learn are valued over formal degree requirements.

Job Requirements:

• Strong written and verbal communication skills and a professional customer-service approach.
• Exceptional attention to detail and ability to maintain accuracy while managing multiple priorities.
• Strong organizational, analytical, and problem-solving skills with consistent follow-through.
• Ability to work independently with appropriate supervision and to recognize when an issue should be escalated.
• Ability to work effectively as part of a small team and accept coaching, feedback, and changing priorities.
• Professional judgment, discretion, emotional maturity, and the ability to remain calm when resolving difficult billing or customer concerns.
• Strong computer skills and ability to learn new billing systems, electronic health information systems, payer requirements, and workflows.
• Ability to protect confidential information and maintain professional relationships with patients, clients, payers, coworkers, and business partners.
• Completion of HIPAA, compliance, privacy/security, and role-specific training within required timeframes.
• Consent to background screening, drug screening, and other employment requirements in accordance with company policy and applicable law.

Supervisory Responsibilities:

None. This position works under the direction of the Billing Supervisor and established laboratory leadership structure.

Reports to:

Billing Supervisor and Laboratory Director; for complaints or concerns employees may also contact .

Physical Requirements:

• Must be able to perform prolonged computer and desk-based work and use standard office equipment.
• Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that job requirements are met.
• Must be able to communicate effectively by telephone, electronic systems, and in person.
• Must be able to cope with the mental and emotional demands of the position and function effectively in a variety of work environments.
• Must be able to engage professionally with customers and others who may at times be upset or difficult.

Confidentiality and Compliance:

Employees must maintain strict confidentiality of patient, insurance, financial, and business information in accordance with HIPAA, company policies, contractual obligations, and applicable federal, state, and local requirements. Violation may result in disciplinary action up to termination. Employees must comply with applicable privacy, security, billing, fraud-and-abuse, and company compliance requirements.

Training and Development:

New hires will receive orientation on company policies, compliance requirements, and role-specific skills. Ongoing training will be provided annually or as required by law, payer requirements, or company policy.

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance

Experience:

medical billing: 1 year (Preferred)

Work Location:

In person