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Laboratory Revenue Specialist

Company: Providence Health & Services
Location: Olympia
Posted on: June 3, 2021

Job Description:

Providence is calling a Laboratory Revenue Specialist (1.0 FTE, Day Shift) to Providence St. Peter Hospital in Olympia, WA

In this position you will:

  • Review, audit and add blood bank charges: Exhibits a complete understanding of transfusions services charging requirements and completes this task daily
  • Correctly determines when and what modifier is appropriate for the testing: Charges are posted on the correct patient accounts for the service provided.
  • Take responsibility to ensure that all billing for miscellaneous testing is completed in a timely fashion: Completes all miscellaneous charging within the required limit by One Revenue Cycle (ORC).
  • Audit and reconcile reference lab and Cellnetix charges: Review monthly bills to assure accuracy
  • Review Chargemaster annually for CPT code updates: CPT updates completed in Nov. for new year.
  • Review reimbursements and denials: Work with contacts in ORC to review and find solutions
  • Quantify write-offs: Report monthly what is not getting billed and the reasons
  • Validate charges in EPic: review all changes made on tests to assure billing is correct.
  • Complete CCI edits: Performaed accurately within expected timeframes.
  • Input late charges timely: Develop process and reports to help minimize unbilled late charges.
  • Monitor and report charge capture and reimbursement status: Monthly dashboard to be reported monthly.
  • Quality Assurace and Quality Improvement: Maintains ongoing and overall quality of the billing process, relative to meeting patients and customer's needs.
  • Regulatory Activities: Collaborates with Nursing Service and other departments where POC testing occurs to ensure billing compliance with all standards and regulations.
  • Technical Activities:Provides expertise and support.

Required qualifications for this position include:

  • Associate's Degree in business administration, healthcare administration, laboratory science or related field, or equivalent education/experience.
  • Laboratory experience

Preferred qualifications for this position include:

  • Bachelor's Degree in business administration, healthcare administration, laboratory science or related field
  • 3 years in medical billing or coding experience
  • MT/CLS Certified or MLT Certified

About the hospital you will serve.

Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital. Located in Olympia, WA, St. Peter offers comprehensive rehabilitation, medical, surgical and behavioral health services. We have been ranked as one of the top 100 hospitals and as one of 10 premier healthcare employers in the nation and have recently achieved the coveted Magnet" recognition from the American Nurses Credentialing Center. Our hospital rests on a 173-acre campus, much of which includes natural forest and preserved wetlands that maintain a healing environment for patients and staff.

Keywords: Providence Health & Services, Olympia , Laboratory Revenue Specialist, Other , Olympia, Washington

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