Lab Billing Specialist

Lab Billing Specialist – Toxicology & PCR Billing

Location: Plano, TX (Local Candidates Only)
Employment Type: Full-Time

Position Overview

We are seeking an experienced Lab Billing Specialist to join our growing laboratory team in Plano, Texas. The ideal candidate will have a strong background in clinical laboratory billing, specifically toxicology and PCR testing, and possess a thorough understanding of insurance claims processing, reimbursement methodologies, and laboratory compliance requirements.

This position requires an individual who is detail-oriented, self-motivated, and capable of managing high billing volumes while maintaining accuracy and efficiency. Candidates must reside within commuting distance of our Plano laboratory and be available for in-office work.

Responsibilities

• Process and submit laboratory claims for toxicology and PCR testing services.
• Verify patient demographics, insurance coverage, and billing information.
• Review claims for accuracy and compliance prior to submission.
• Follow up on denied, rejected, or unpaid claims and initiate appeals when appropriate.
• Investigate billing discrepancies and resolve claim issues with payers, providers, and patients.
• Monitor accounts receivable and work aging reports to maximize collections.
• Maintain current knowledge of CPT, HCPCS, ICD-10, and payer-specific billing guidelines.
• Ensure compliance with Medicare, Medicaid, commercial payer, and laboratory billing regulations.
• Work closely with laboratory operations, providers, and management to resolve billing concerns.
• Generate billing reports and assist with revenue cycle performance analysis.
• Document all billing activities and maintain accurate records within billing systems.

QualificationsRequired:

• Minimum of 2 years of laboratory billing experience.
• Demonstrated experience with toxicology billing and PCR/molecular diagnostic testing billing.
• Strong knowledge of CPT, ICD-10, HCPCS coding, and payer reimbursement practices.
• Experience working with Medicare, Medicaid, and commercial insurance carriers.
• Proficiency with billing software, EMR/EHR systems, and Microsoft Office applications.
• Strong analytical, problem-solving, and organizational skills.
• Excellent communication and follow-up abilities.
• Ability to work independently while contributing to a team environment.
• Must be located within commuting distance of Plano, TX.

Preferred:

• Experience with reference laboratories or independent clinical laboratories.
• Familiarity with laboratory compliance requirements and payer audits.
• Knowledge of revenue cycle management and accounts receivable processes.

Compensation & Benefits

• Paid time off and holidays.
• Opportunities for professional growth and advancement.
• Collaborative and supportive work environment.

Why Join Us?

We are a growing laboratory committed to providing high-quality diagnostic services while maintaining excellence in compliance, billing accuracy, and customer service. If you have a strong background in toxicology and PCR billing and are looking to make a meaningful impact in a dynamic laboratory environment, we encourage you to apply.

Benefits:

• Paid time off

Work Location: In person