Physicians Group Laboratories (PGL) is a CAP-accredited diagnostic laboratory serving providers and patients across Louisiana. This role focuses on managing an assigned portfolio of insurance accounts receivable from initial follow-up through final resolution.
You will work unpaid, underpaid, and delayed claims; identify root causes of denials and payment delays; submit corrected claims and appeals; and help prevent recurring issues by partnering with billing, accessioning, and client services. The position also requires accurate documentation, compliance with payer and regulatory requirements, and prompt identification of credit balances and potential overpayments.
2+ years of insurance A/R follow-up or denial management experience in a healthcare setting
Working knowledge of EOBs/ERAs, CARC/RARC denial codes, and CPT and ICD-10 fundamentals
Experience using payer portals such as Availity and a practice management or billing system
Comfort with Excel for sorting, filtering, and tracking work
Clear, professional phone and written communication skills, with persistence in payer follow-up
High school diploma or equivalent
Preferred qualifications:
- Clinical laboratory billing experience, including pathology, laboratory CPT codes, molecular testing, and toxicology testing
- Familiarity with Medicare medical necessity rules, ABNs, NCDs/LCDs, and MolDX
- Experience with Louisiana Medicaid and Medicaid managed care plans
- Revenue cycle certification such as CRCR or CPB
Medical, dental, and vision insurance
PTO and paid holidays
401(k) with match
Location
Louisiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago