What are the responsibilities and job description for the CODER/BILLER - LAB - FULL TIME position at Toledo Clinic?
General Summary:
Responsible for ensuring proper codes are used in order to maximize returns.
Works under the supervision of the office manager
Principal Duties & Responsibilities:
Example of Essential Duties:
- Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims
- Responsible for creating reimbursement claims and transfer to Medicare/third party payers
- Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works.
- Responsible for communicating with Physician and their office billing/coding issues.
- Responsible for submission for paperwork to insurance when required.
- Responsible for e Clinical works billing processes and workflows.
- Assist patients and PARs with patient billing issues
- Responsible for communicating coding/billing issues with Laboratory Management.
Other Essential Duties May Include (but are not limited to):
- Provides support to front desk personnel by answering phones, scheduling appointments, etc.
- Other duties as assigned
Knowledge, Skills & Abilities Required:
Required:
- Must be disciplined, organized, detail orientated and practice excellent customer service and phone skills.
- Knowledge of ICD9, ICD10 and CPT codes and manuals required
- Previous experience with medical claim entry/processing
- Experience with medical insurance carrier requirements and processes
- Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame
- Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed
- Demonstrates adaptability to expanded roles.
- CPC or CCS-P or able to pass Toledo Clinic’s comprehensive coding test
Preferred:
- Medical Billing & Coding/Insurance diploma and certification
Education:
- HS diploma or GED required.