Job description
Position Summary
Pinehurst Medical Clinic is seeking a Lab Billing Processor to join our central billing office in Pinehurst, NC. This position plays a key role in patient care working with our providers in providing the best in patient care by pulling the billing file from Orchard and posting it into IDX, along with working the lab billing scrubs. This a full-time day shift position and does not require weekend or holiday hours.
Essential Functions and Responsibilities
- Works a billing file that has "pending charges” to be reviewed for referring doctors, ordering doctors with corrections made to each charge that’s generated through Orchard before charges are released into our IDX system.
- Reviews all Reference lab charges in Orchard in order to assign the referring doctor to each charge.
- Reviews Laboratory tests done at PMC, SMG, and Labcorp locations for billing, bundling, NCD/LCD coverage guidelines, ect.
- Works a scrub queue with a multitude of accounts and charges to correct bundling guidelines, NCD/LCD coverage policies, tasking physicians, as well as working denials from Insurance companies.
- Assign ICD-10 diagnosis codes and CPT codes to charges
- Performs other duties as assigned.
Qualifications:
Education (Including Licenses and Certifications): High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
Experience: Prior healthcare billing experience preferred.
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