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Billing Clerk / Specialist
Spartanburg, SC

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Spartanburg Regional Healthcare System

Lab Billing Specialist- SMC Onsite

Job Description

Job Requirements Position Summary Assists with laboratory billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Billing Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely. Responsibilities vary based on department need. Minimum Requirements Education High School graduate with 2 years' experience in a similar position Experience Two years of experience in Medical Billing and Coding Proficiency in use of Microsoft Office applications Must have good knowledge of CPT, HCPCS, and
ICD-9/10
codes Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes. Be familiar with multiple payer requirements for claims processing Good communication Skills License/Registration/Certifications N/A Preferred Requirements Preferred Education High School graduate with 4 years' experience in a similar position Preferred Experience Four years of experience in Medical Billing and Coding Proficiency in use of Microsoft Office applications Must have good knowledge of CPT, HCPCS, and
ICD-9/10
codes Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes. Be familiar with multiple payer requirements for claims processing Good communication Skills Preferred License/Registration/Certifications National Coding Certification AAPC Core Job Responsibilities Submit private/commercial insurance claims with proper documentation in a timely manner Review and submit self-pay claims as created Utilize Medicare DDE system to correct errors on Medicare claims Batch and key all reimbursements received Compile and respond to all reimbursement inquiries Investigate and resubmit all unpaid balances to appropriate insurance carrier Posts all payments Updates check logs as checks are deposited and reconciles with deposit report at the end of month Process refunds as needed Initiates action to manage accounts, i.e. collections, write off Maintain accurate, systematic accounts receivable process Other Duties As Assigned