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Billing Agents

PMLS_CareerHeaders_billingagent

Medical Billing Agents – Territory Region

Premier Medical, INC is a rapidly growing national reference laboratory based in South Carolina, providing a complete range of laboratory services for medical facilities throughout the country.

The Billing Agent is responsible for the timely and accurate rating, releasing, distributing, and input of orders.

Essential duties and responsibilities

  • Acquire all supporting documents. Scan, fax or email paperwork to necessary parties.
  • Familiarity with Medical Insurances
  • Assess and enter correct CPT coding for laboratory testing
  • Must possess ICD9/ICD10 knowledge
  • Performs claims denial and rejection appeals and corrections
  • Performs eligibility verification to ensure the proper insurance is billed for testing
  • Performs cash application based on insurance coverage of laboratory tests.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

  • High school or GED required, with a minimum of two years of related experience and/or training or equivalent, or equivalent combination of education and experience.

Language Ability:

  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Math Ability:

  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.

Reasoning Ability:

  • Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Computer Skills:

  • To perform this job successfully, an individual should have knowledge of Microsoft Office Word and Excel; the ability to learn and effectively use enterprise software such as Movers Suite, Great Plains, order processing systems, and other related software used in the daily performance of job duties.

Supervisory Responsibilities:

  • This role does not supervise other employees.
  • Work Environment:
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The noise level in the work environment is usually quiet.
  • Physical Demands:
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms.


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