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Form of workBASIC FUNCTION:
Currently a Billing specialist and looking for an opportunity to make a more significant impact on an organization? Come join the Simple Laboratories billing team as a Billing specialist! Simple Laboratories is one of the largest independent regional laboratories in the Midwest, performing 100’s of different clinical lab tests on state-of-the-art machines for 1,000’s of local physicians. We lead the industry in customer support and patient care, and are looking for diligent, hardworking folks to help this young, growing company.
The ideal candidate will be responsible for review and execution of all LTC nursing home client and insurance billing, be able to understand and accurately work all Medicare part A census reports and client-due invoices monthly.
The ideal candidate will be self-motivated, have a background in medical billing, and be excited by the prospect of learning more about LTC billing. Responsibilities will include:
- Experience as a Billing Specialist in the long-term care space
- Knowledge in Medicare, Medicaid, private insurance, HMOs, and hospice billing
- Knowledge in verifying sources for payer eligibility under Part B
- Knowledge in posting Medicare part A ancillaries to client accounts
- Knowledge of state and federal nursing home guidelines
- Ability to multi-task & prioritize independently while working with a team to meet required deadlines in a busy environment
- Engage with clients and assist in conducting billing business reviews as necessary, virtually or physically
- Be an integral part of contributing to key performance metrics for timely and accurate billing
- Quality check documented activities related to the billing practice in Long Term Care as a subject matter expert
- Ensure claims are billed accurately and timely
- Escalate any issues or concerns identified in a timely manner to the Billing Manager
- Communicate with payors and customers to request payments
- Maintain strictest confidentiality
- Adhere to all HIPAA guidelines/regulations
- Other duties as assigned
SPECIFICATIONS:
- Must have 2–3-years experience in payer denials
- Knowledge in medical or billing collection/practices is a must
- Proficiency in Excel, Microsoft Office, and other computer-based programs
- Proficient communication skills (written and verbal) and typing skills (55+WPM)
- Dedicated follow-up and good client relation/customer service skills are a must
- Adhere to the LTC standard operating process (SOP) to be successful
- Ability to work in a fast-paced professional office environment; must have an excellent, “can-do” attitude
- A keen eye for detail and organization
MINIMUM QUALIFICATIONS:
Must have a high school diploma or equivalent
BENEFITS:
- 401(K)
- 401(k) Matching
- Paid Time Off
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- ST/LT Disability
- Hospital Indemnity Insurance
- Critical Illness insurance
- Accident Insurance
Simple Laboratories provides laboratory diagnostic testing and related services in the Midwest of the United States. Certified by the Clinical Laboratory Improvement Amendments program (CLIA), Simple Laboratories is a full-service, clinical laboratory offering a comprehensive test menu and wide-ranging services to support physician offices and surgical centers. The company specializes in routine testing services, including blood chemistry analyses, urinalyses, blood cell counts, thyroid tests, Pap tests, HIV tests, and microbiology cultures and procedures. The company is headquartered in Harwood Heights, IL.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not indeed to be considered an exhaustive list of all responsibilities, duties and skills of the people so classified.
