What are the responsibilities and job description for the Laboratory Applications and Billing Specialist position at External Brand?

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35 locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

PURPOSE

Helps monitor and maintain the databases in the lab systems, and ongoing database management. Performs duties necessary for accurate and timely laboratory send-out billing. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
Regular and dependable attendance.
Follows the core competencies set forth by the Company, which are available for review on ARC Sharepoint.
Helps monitor and maintain the databases in lab systems, and ongoing database management.
Helps support Laboratory Information Systems (LIS) functions & Database maintenance.
Helps process incoming Lab Support inquiries, troubleshooting calls, and/or messages.
Helps develop and test rules in laboratory test environments.
Helps in the validation of Codemap files that are used to determine Medical necessity for lab tests.
Helps maintain and promulgate the routing and billing rules in COPIA.
Audits laboratory send out bills (CPL, Lab Corp, TDH, etc.) for accuracy and completeness.
Authorizes payment of bills to Accounting department.
Answers coding questions for laboratory personnel, business office staff, physicians and nurses.
Researches clinical utility and cost of esoteric tests as needed using the internet, literature, and by consulting with Pathologist and/or lab managers.
Answers patient calls regarding laboratory billing questions.
Assists with updating computer system by informing Coding Quality and IT staff of additions/changes/deletions of test codes and related information (CPT codes, cost, laboratory information, etc.)
Identifies opportunities to reduce laboratory send out costs by reviewing Explanation of Benefits (EOB) and suggesting contractual and operational changes to Austin Regional Clinic administration.
Helps support Lab Work Queue and assists in Charge entry.
Works holiday shift(s) as required by Company policy.

OTHER DUTIES AND RESPONSIBILITIES

Works with Central Billing and Coding Quality departments in developing, implementing, and monitoring billing edits and clinic work queues.
Helps train new laboratory personnel with test ordering, coding, billing, and Advance Beneficiary Notices (ABN.)
Stays abreast of health plan changes as they relate to laboratory billing and reimbursement by working closely with CBO.
Updates CPL of provider changes and the provider’s UPINs and NPIs.
Set up doctors and employees in LIS.
Assist with interface issues.
Assists with special projects as assigned.
Travels, as needed, for laboratory hardware assessments and testing.
Performs other duties as assigned.

QUALIFICATIONS

Education and Experience:

Required:

Bachelor’s degree in Clinical Lab Science or related field preferred, or Six (6) years clinical lab experience.

Preferred:

● One (1) year experience working in an ARC laboratory preferred.

● Experience with EMR and LIS software preferred.

Knowledge, Skills and Abilities

Ability to engage others, listen and adapt response to meet others’ needs.
Ability to align own actions with those of other team members committed to common goals.
Excellent computer and keyboarding skills, including familiarity with Windows.
Excellent verbal and written communication skills.
Ability to manage competing priorities.
Ability to perform job duties in a professional manner at all times.
Ability to understand, recall, and communicate, factual information.
Ability to understand, recall, and apply oral and/or written instructions or other information.
Ability to organize thoughts and ideas into understandable terminology.
Ability to apply common sense in performing job.
Knowledge of laboratory billing practices and related coding.
Excellent customer service skills.
Ability to work in a team environment.
Ability to handle competing priorities.
Excellent interpersonal & problem solving skills.

Certificate/License

None.

Work Schedule: Monday through Friday, 9am-6pm, rotating on-call weekends

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Laboratory Applications and Billing Specialist

What are the responsibilities and job description for the Laboratory Applications and Billing Specialist position at External Brand?

PURPOSE

ESSENTIAL FUNCTIONS

Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.

Regular and dependable attendance.

Follows the core competencies set forth by the Company, which are available for review on ARC Sharepoint.

Helps monitor and maintain the databases in lab systems, and ongoing database management.

Helps support Laboratory Information Systems (LIS) functions & Database maintenance.

Helps process incoming Lab Support inquiries, troubleshooting calls, and/or messages.

Helps develop and test rules in laboratory test environments.

Helps in the validation of Codemap files that are used to determine Medical necessity for lab tests.

Helps maintain and promulgate the routing and billing rules in COPIA.

Audits laboratory send out bills (CPL, Lab Corp, TDH, etc.) for accuracy and completeness.

Authorizes payment of bills to Accounting department.

Answers coding questions for laboratory personnel, business office staff, physicians and nurses.

Researches clinical utility and cost of esoteric tests as needed using the internet, literature, and by consulting with Pathologist and/or lab managers.

Answers patient calls regarding laboratory billing questions.

Assists with updating computer system by informing Coding Quality and IT staff of additions/changes/deletions of test codes and related information (CPT codes, cost, laboratory information, etc.)

Identifies opportunities to reduce laboratory send out costs by reviewing Explanation of Benefits (EOB) and suggesting contractual and operational changes to Austin Regional Clinic administration.

Helps support Lab Work Queue and assists in Charge entry.

Works holiday shift(s) as required by Company policy.

OTHER DUTIES AND RESPONSIBILITIES

Works with Central Billing and Coding Quality departments in developing, implementing, and monitoring billing edits and clinic work queues.

Helps train new laboratory personnel with test ordering, coding, billing, and Advance Beneficiary Notices (ABN.)

Stays abreast of health plan changes as they relate to laboratory billing and reimbursement by working closely with CBO.

Updates CPL of provider changes and the provider’s UPINs and NPIs.

Set up doctors and employees in LIS.

Assist with interface issues.

Assists with special projects as assigned.

Travels, as needed, for laboratory hardware assessments and testing.

Performs other duties as assigned.

QUALIFICATIONS

Education and Experience:

Required:

Bachelor’s degree in Clinical Lab Science or related field preferred, or Six (6) years clinical lab experience.

Preferred:

● One (1) year experience working in an ARC laboratory preferred.

● Experience with EMR and LIS software preferred.

Knowledge, Skills and Abilities

Ability to engage others, listen and adapt response to meet others’ needs.

Ability to align own actions with those of other team members committed to common goals.

Excellent computer and keyboarding skills, including familiarity with Windows.

Excellent verbal and written communication skills.

Ability to manage competing priorities.

Ability to perform job duties in a professional manner at all times.

Ability to understand, recall, and communicate, factual information.

Ability to understand, recall, and apply oral and/or written instructions or other information.

Ability to organize thoughts and ideas into understandable terminology.

Ability to apply common sense in performing job.

Knowledge of laboratory billing practices and related coding.

Excellent customer service skills.

Ability to work in a team environment.

Ability to handle competing priorities.

Excellent interpersonal & problem solving skills.

Certificate/License

None.

Work Schedule: Monday through Friday, 9am-6pm, rotating on-call weekends

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