About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Laboratory Billing Specialist
Position Summary:
Under the direction of the laboratory department and revenue cycle department leadership, the Lab Billing Specialist works on resolution efforts for coding and billing problems that prevent submission of insurance claims as well as technical denials for claims not paid. Works closely with Coding and Billing departments in this effort. Performs assignment tasks within the quality and productivity standards assigned to position responsibilities.
Essential Functions and Responsibilities:
1. Monitors daily workload and analyzes progress of insurance claim submissions.
2. Resolves coding and billing problems to ensure timely reimbursement of the claim.
3. Maintains knowledge of coding/billing requirements, documentation requirements and payer policies within the designated specialty.
4. Responds promptly and professionally, being courteous to all customers’ needs.
5. Communicates effectively and often with leadership and staff.
6. Contributes to continuous quality improvement efforts.
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Required:
• High School Diploma or GED
• One year of billing or patient registration experience
• Experience in a health care setting
• Laboratory experience
Preferred:
• Billing and Coding Certificate
• CPT, HCPCS, and ICD-10 experience
• Proficient in Microsoft office
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
