Anne Arundel Medical Center
Introduction:
Our Location
Located in Annapolis, Maryland, Anne Arundel Medical Center is ideally situated in the center of American history, within easy reach to the region’s most vibrant cities. We are a modern and sophisticated destination for diverse lifestyles. Our location is part of the Baltimore-Washington Metropolitan Area and also considered the gateway to the Chesapeake Bay and the Eastern Shore of Maryland.
Job Description:
The Laboratory Reimbursement Specialist is the liaison between the laboratory, patient financial services, and reimbursement team members.
We are seeking a highly professional and organized Reimbursement Specialist who thrives in a detail-oriented environment focused on the health care claims submission process and management.
Essential Duties:
- Investigate up-front and post-submission denials and edits through oral and written communication with insurance carriers and ordering providers
- Manage assigned billing and charging work queues (WQs) by performed edits (CCI, MUE, etc.) and clearing errors in accordance with Federal guidelines regarding appropriate laboratory billing
- Document in EPIC system in accordance with PFS policies and procedures
- Serve as the department’s subject matter expert by sharing information and remaining current in reimbursement rules and trends
- Foster the financial stewardship of the health system and Conexus Laboratories by maximizing reimbursement and reducing denials
- Review client bills for accuracy and monitor clients for timely payment
- Espouse the principals of Lean Thinking and create a work environment that positively promotes process improvement
Required Qualifications:
- Associate’s Degree from an accredited college or university
- Experience with laboratory billing including CPT and ICD-10 coding
Preferred Qualifications:
Bachelor’s Degree from an accredited college or university with a laboratory science major and three years of experience performing similar duties (including clinical and anatomical pathology billing).
Education Qualifications:
- Associate’s Degree from an accredited college or university