Billing Preprocessing Specialist I

Job Description

REQUIREMENTS

• High School Diploma or equivalent
• Medical Billing Certificate Preferred
• 1+ years of experience in Healthcare
• Minimum experience for this position should have 1+ years of experience in healthcare background and a proven track record entering demographics and insurance
• Capable of adapting to multiple applications of software, TelCor preferred
• Knowledge of reimbursement processes, billing, and accounts receivable
• Knowledge of preprocessing errors or rejections that prevent claim submission
• Solid computer skills with emphasis on MS Office products
• Must be comfortable working in a close-knit, team environment where attitude and work ethics are a priority
• Excellent written and verbal communication skills

RESPONSIBILITIES

• Update account information based on a review of client requisition and supporting documents
• Ensures appropriate dates of service are utilized in accordance with CMS Laboratory Date of Service Policy
• Resolves preprocessing errors and ensures timely and accurate claim submission
• Collaborates with ILAB and Data Specialist Team to optimize efficiencies across front-end
• Contributes to team effort by accomplishing goals as assigned by management
• Maintains individual productivity as set forth by management
• Maintains accuracy by following policies and procedures; reporting needed changes to management
• Maintains data entry requirements by following written procedures
• Maintains customer confidence and protects data by following HIPAA compliant regulations
• This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.

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