Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims
Responsible for creating reimbursement claims and transfer to Medicare/third party payers
Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works.
Responsible for communicating with Physician and their office billing/coding issues.
Responsible for submission for paperwork to insurance when required.
Responsible for e Clinical works billing processes and workflows.
Assist patients and PARs with patient billing issues
Responsible for communicating coding/billing issues with Laboratory Management.

Other Essential Duties May Include (but are not limited to):

Provides support to front desk personnel by answering phones, scheduling appointments, etc.
Other duties as assigned

Knowledge, Skills & Abilities Required:

Required:

Must be disciplined, organized, detail orientated and practice excellent customer service and phone skills.
Knowledge of ICD9, ICD10 and CPT codes and manuals required
Previous experience with medical claim entry/processing
Experience with medical insurance carrier requirements and processes
Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame
Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed
Demonstrates adaptability to expanded roles.
CPC or CCS-P or able to pass Toledo Clinic’s comprehensive coding test

Preferred:

Education: