Laboratory Billing Specialists in and around Decatur! Looking for something a bit different? Got the blues from your current position? In need of a change? If you stop and listen closely, I think I can hear opportunity calling (or, maybe that is my stomach, I haven't had lad lunch yet. Sorry). 

Lighthouse Lab Services is representing an independent reference lab near Decatur that is looking for a Laboratory Billing Manager to join their team! If this sounds like something you wanna get in on, then look below for more info: 

Key responsibilities for this position include, but are not limited to:
-Able to accurately bill electronically and file insurance claims.
-Knowledge of various insurance forms to include HCFA and EOB forms.
-Post and submitting claims and payments to the insurance company.
-Correct/ remit claim denials.
-Establish payment plans on delinquent collection accounts.
-May need to communicate with the physicians, nurses, and other healthcare professionals to categorize the services a patient has received for proper billing.
Able to apply CPT, HCPCS, and ICD-10 CM standardized codes to patient records to accurately reflect the services received.
-Remaining up-to-date with the latest revisions to coding standards and federal regulations.
-May need to maintain contact with multiple insurance companies.
-Be knowledgeable of different types of medical insurance such as private carriers, HMO's,
-Medicare, Medicaid, Workers Comp & Disability.
-Investigating reject or denied claims.
-Must have a good understanding of the ICD-10 codes and Modifiers.
-Be conscientious of common problems with reimbursements as a mean to prevent them.-Able to balance skills between billing & coding and processing and other related assignments.
-Review and assess adjudicated claims for timely and proper payment of outstanding balances.
-Research, correct, and resubmit or reprocess unpaid claims, as necessary.
-Review zero payments daily, including denials, correspondence, etc. Identify liability and guarantor hierarchy and transfer balances timely and appropriately.
-Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes.
-Research and resolve denials and underpayments with insurance carriers.
Verify all identified insurance carriers for eligibility and confirm carrier policy for referral and authorization requirements as needed for claims adjudication.
-Submit carrier appeals and reconsideration requests in a timely manner.
-Process insurance refund requests as necessary and according to policy and procedure.
-Meet productivity goals, benchmarks as set and communicated by department manager.
-Always maintain confidentiality of patient information
Basic Preferred Profile: 

-Bachelor's Degree in Medical Billing/Coding, or releated.
-2+ of Medical Billing/Coding experience required.
-Billing and Coding certified highly preferred.

Salary and Benefits: 
-$32,000-50,000 (depending on experience)
-Full Benefits
If you fit the above profile, we'd love to hear from you!

About Us:

At Lighthouse Lab Services, we offer solutions to help start, grow, and run clinical laboratories. Our recruiting team has over 17 years of proven success placing job seekers in positions ranging from entry-level Medical Technologists to seasoned Laboratory Directors. We recruit nationwide, for permanent and travel positions with clients ranging from small hospitals to large reference laboratories.

It is the policy of Lighthouse Lab Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Lighthouse Lab Services will provide reasonable accommodations for qualified individuals with disabilities.

Lighthouse Lab Services | 800-838-0602 | lighthouselabservices.com

#MP Job ID: 12162

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