Lab Registration and Billing Specialist - RGH (Full-Time, Days)

Rochester General Hospital (RGH)

Full time

REQ_240656

Job Title: Lab Registration and Billing SpecialistDepartment: Pathology Administration SupportLocation: Rochester General Hospital | 1425 Portland Ave. Rochester, NY 14621Hours Per Week: 40Schedule: Monday - Friday, 8-hour shifts, 8:30a - 5:00p

SUMMARY

The Lab Registration and Billing Specialist supports the RGH Department of Pathology and Laboratory Medicine team by ensuring accurate discharge of all medical reports using multiple distribution methods to achieve this goal. Includes use of transcribing and word processing equipment to process medical reports, and ensure all reports are sent to the provider electronically or by US Mail services. In addition, works closely with the Laboratory Charge Capture and Compliance team to ensure all orders result in accurate and timely billing for any services rendered in compliance with regulatory and accreditation requirements.

RESPONSIBILITIES:

• Collaborates with healthcare professionals as applicable to discuss findings and offer advice and education as to how to improve denial rates.

• Works with Central Business Office (CBO) and Health Information Management (HIM) to identify billing adjustments and denial issues.

• Interacts with laboratory departments to discuss billing compliance issues and uses the information for recommending change of existing procedures or processes as directed by the manager.

• Keep current with Center for Medicare and Medicaid Services (CMS) - national and local coverage policies and other CMS regulations.

• Creates IT Service tickets to correct system errors found by observing trends on various billing work queues

• Understands all aspects of SoftLab Lab Information System pertaining to Accounts Receivable. Includes running billing files, setting up new tests and insurances.

• Works closely with Laboratory Information System team on all system upgrades. Implements, tests and validates billing flow for each test.

• Proficient with database and required hot fixes of database files and validations. Responsible for ensuring billing files work correctly.

• Maintain Laboratory Chargemaster, ensuring CareConnect billing requirements are met for each test that is added to the system.

• Typing of all clinical histories into the Pathology information system

• Typing of Autopsy provisional and final reports into the Pathology information system

• Handling of all communication between Pathologists, providers and any outside vendor

• Manages faxes and other documentation from providers for Pathology cases

• Paperwork and slide storage retrieval/return including conferences and cases sent out to references labs. This also includes specimens sent out for additional testing.

• Other duties as assigned by Manager

PREFERRED QUALIFICATIONS:

• Associate's degree preferred, but not required

• Previous billing and third-party payor experience preferred

• 2 years related work experience in billing and/or patient access, working with CPT codes preferred

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$18.75 - $23.00

CITY:

Rochester

POSTAL CODE:

14621

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.