Lab Clerical Support Specialist- Full time-Days

About the role

The Clerical/Billing Support Specialist is responsible for performing excellent customer service to outpatients, visitors, hospital staff and healthcare providers and their office staff in a quick, efficient manner. The clerical staff is responsible for handling phone calls, processing patient data and payments, placing test orders/results, processing insurance payments, and maintaining laboratory records.

Responsibilities

• Demonstrates a high level of customer service & communication skills as the first contact with clients, patients, and payers either on the phone or face-to-face.
• Answers incoming calls in a pleasant, professional manner and resolves caller's request if possible. Routes other calls to the appropriate staff member or department.
• Responsible for obtaining, validating and accurately entering patient billing and insurance information for both client and account billing, including Medical Necessity checks, obtaining Advanced Beneficiary Notices of Non-Coverage, and contacting providers in a professional and courteous manner to obtain missing billing information.
• Ensures timely distribution and routing of all laboratory reports, daily notifications, client invoices, and patient statements.
• Ensures all incoming communications, including departmental mailings, postal mail, email, and faxes, are acted upon in a timely manner.
• Adheres to all Laboratory and Hospital Policies & Procedures. Observes all safety and infection control practices where indicated.
• Maintains a neat and orderly workplace.
• Demonstrates the ability to organize, prioritize, execute and follow up on daily workflow, both independently and with co-workers. All tasks are owned by the individual until resolution, or another person accepts ownership.
• Assists others as time and workload permit.
• Follows established policies and procedures for the accurate collection, recording, transporting, and posting of cash receipts and other forms of patient payments.
• Maintains confidentiality with all information consistent with HIPAA and laboratory policy.
• Reconciles billing errors, submits claims manually or electronically to payers, monitors claims, process denials, and monitor bad debt.
• Performs other duties consistent with purpose of job as directed.

Requirements

• High School Diploma or GED required.
• Training in medical billing and insurance preferred.
• Proficient keyboard skills and basic understanding of computers and software required.
• Understanding of commonly used medical terminology preferred.
• Adheres to the principles of caring and expected behaviors outlined in MercyOne Medical Center's Model of Caring and Trinity Health's Code of Conduct, fostering a climate where all customers are treated in a manner consistent with MercyOne Medical Center's Mission and Values.
• Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.