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Laboratory Billing Assistant

Methodist Health System Omaha, NE

Job Description

  • Purpose of Job
    • The Laboratory Billing Assistant is responsible for laboratory functions including registration, entering patient demographics, verifying insurance eligibility using Healthcare information systems and databases, and entering manual charges. This position reports to the Lab Billing Operations Lead and staff, and also works with other department and affiliate employees.
  • Job Requirements
    • Education
      • High School Diploma, General Educational Development (G.E.D.), or equivalent required.

    • Experience
      • Familiarity with healthcare information systems and databases.
      • Prior medical office and/or medical insurance experience preferred.
        • Three months' on the job training will be provided.

    • License/Certifications
      • N/A

    • Skills/Knowledge/Abilities
      • Able to effectively deal with uncertainty, and complex situations.
      • Strong problem-solving skills.
      • Strong attention to details.
      • Excellent verbal, and written communication skills.
      • Demonstrated ability to effectively work in a team environment.
      • Ability to define problems, collect data, establish facts, and draw valid conclusions.
      • Excellent project management, time management, and organizational skills (ability to manage multiple projects and priorities effectively).
      • Demonstrated relationship management skills.
      • Ability to utilize and be proficient in a number of computer applications.
      • Accurate alphanumeric keyboarding ability.
      • Ability to work with people effectively, and work under pressure.
      • Ability to learn specialized terminology of a medical laboratory.
      • Ability to use Microsoft Windows.
      • Excellent organization, and problem solving skills.
      • Ability to work, and communicate effectively with others.
  • Physical Requirements
    • Weight Demands
      • Light Work - Exerting up to 20 pounds of force.

    • Physical Activity
      • Not neccessary for the position (0%):
        • Climbing
        • Crawling
        • Kneeling
      • Occasionally Performed (1%-33%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Lifting
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Frequently Performed (34%-66%):
        • Fingering/Touching
        • Grasping
        • Keyboarding/typing
        • Pulling/Pushing
        • Reaching
        • Repetitive Motions
        • Sitting
        • Speaking/talking
      • Constantly Performed (67%-100%):
        • Hearing
        • Seeing/Visual

    • Job Hazards
      • Not Related:
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Electrical Shock/Static
        • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
        • Mechanical moving parts/vibrations
      • Note: Safety Officer can assist with identification of job hazards.
  • Essential Job Functions
    • Essential Functions I

      • Process patient orders, and billing in a manner to ensure accurate, and timely testing by following section policies and procedures.
        • Maintains compliance with established processes, and achieves section/organization quality goals.
        • Knowledgeable in Revenue Cycle Management registration, and use of multiple information systems to accurately select, and submit appropriate information.
        • Accurately performs, verifies, and evaluates appropriateness on patient demographic, and insurance information.
        • Prioritizes, and organizes work to facilitate the timely, and accurate completion of multiple tasks simultaneously by assessing the urgency of the tasks, and the time required to complete them.
        • Identifies problems, and initiates immediate follow-up as necessary with the Manager, Service Leader, or Medical Director(s) to ensure accurate, timely laboratory services by using critical thinking skills, and decisive judgment.
        • Accommodates patient, and laboratory needs by professionally responding to requests for flexibility in duties, schedules, and staffing.
        • Maintains section materials, supplies, and equipment by following section policies.
        • Bills and posts charges, prepares and posts manual charges, and follows up on denial reports and problem resolution.
        • Reviews and verifies assigned codes, and sequences diagnosis and procedures according to regulations.
        • Contacts Physicians or Clinics for clarification of clinical information as appropriate for account type as necessary.
        • Maintains up to date knowledge of coding, and regulatory requirements to accurately determine if coding is appropriate for reimbursement of healthcare services.
          • Continues to strive to meet continuing education requirements for certification or to maintain working knowledge of ongoing changes to CPT, HCPC, and ICD codes.
        • Utilizes web based tools, coding books, and other available resources to provide insurance companies with required information.
        • Participates, and assists with audits to capture lost revenue, and determine accuracy of billing as necessary.
        • Ensures all payer sources, commercial and governmental, are verified eligible.
        • Utilizes online systems to gain needed information for notification, and pre-certification as needed.

      • Documents orientation, training, and education to ensure employee competence, the provision of services, and to meet accreditation requirements by effective verbal or written communication.
        • Organizational, and department competencies are completed 100% of the time.
        • Evidence that new procedures, and major procedure revisions are read, and understood.
        • Assists in training new, and existing staff including the review, and completion of orientation checklists, and skill/training checklists.
        • Supports the education of clinical/anatomical laboratory scientist students.

      • Communicates efficiently by answering telephones, taking messages, calling clients for test clarification, and forwarding information or calls to appropriate staff.
        • Utilizes appropriate communication skills as directly observed by Team Leader or designee.
        • Maintains and encourages open communication internally and externally.
        • Brings issues and concerns directly to the appropriate supervisor's attention as directly observed.
        • Utilizes time efficiently and effectively to complete assignments and assist co-workers as needed by adhering to time management and teamwork principles.
        • Assists in the training of new employees to the section to ensure high quality of services by working at specific functions with the new employee until he/she is self-sufficient with the function procedure.
        • Phone calls are acted upon promptly and handled in a professional manner per the customer service protocol as directly observed.

      • Supports Pathologists with any office related requests.

    • Essential Functions II

      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.

Job Details

Date Posted October 19, 2018
Date Closes December 18, 2018
Requisition 10390
Located In Omaha, NE
Work At NE Methodist Hospital
Department Laboratory
Shift Daytime
Hours 730-4, 8-430, 830-5 hours per week
SOC Category 00-0000.00