Pathology Billing Specialist

Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Prepares and submits clean claims electronically or by paper; answers patient, staff and insurance queries; resolves patient billing questions and complaints. Prepares, reviews and sends patient statements, evaluates financial status, establishes budget payment plans, and reports delinquent accounts. Reviews accounts for possible assignment, coordinates with collection agencies, researches and appeals denied claims, performs collection actions including patient calls and claim corrections. Maintains provider insurance credentialing.

Demonstrates initiative, responsibility and adheres to ethical principles. Performs repetitive tasks accurately. Manages time effectively and prioritizes multiple tasks. Adapts to change, attends team meetings and mandatory trainings. Uses professional telephone etiquette and medical terminology appropriately. Treats patients and coworkers with compassion and respect. Maintains confidentiality, documents accurately, and follows healthcare laws and regulations including OSHA, HIPAA, and CLIA.

Qualifications:

• High school diploma, AA degree or higher
• Accounts receivable and billing experience preferred
• Billing and coding certification a plus
• Knowledgeable in EMR systems, clinical and billing terminology preferred
• Pathology and dermatology experience a plus