Clinical Laboratory Billing Specialist (RCM) (Hybrid) at LETZ Go Gaming, LLC

Destin, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Jul, 26

Salary

61000.0

Posted On

09 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare billing, Revenue cycle operations, CPT coding, ICD-10 coding, Medicare billing, Medicaid billing, Commercial insurance billing, Claim preparation, Claim submission, Denial management, Appeals, Documentation, Patient billing records, Analytical skills, Problem-solving, Attention to detail

Industry

Description

Description NOTE: This opportunity is open to full-time employment (no C2C or 1099 engagements, or third parties, please). The candidate MUST be authorized to work in the United States without sponsorship. local to the Destin FL area and available to be on-site in this hybrid role Daily Responsibilities Support the billing and reimbursement operations for clinical laboratory services. Responsible for accurate claim preparation, coding review, claim submission, and follow-up on payer responses to ensure timely and accurate reimbursement for laboratory testing services. Prepare and submit laboratory claims to Medicare, Medicaid, and commercial insurance carriers. Review laboratory test orders and documentation to ensure accurate CPT and ICD-10 coding. Resolve claim edits and rejections prior to submission. Conduct denial management and payer follow-up to secure reimbursement. Assist with appeals and documentation submission for denied claims. Maintain accurate patient billing records and documentation. Work closely with laboratory accessioning and operations teams to correct billing discrepancies. Monitor claim status and ageing reports to ensure timely collections. Ensure compliance with payer policies and laboratory billing regulations. Support audits and compliance reviews when necessary. Requirements Must be authorized to work in the United States without sponsorship. Must be within daily commuting distance to the Destin FL area to be on-site (hybrid schedule). 2+ years of experience in healthcare billing or laboratory revenue cycle operations. Knowledge of CPT and ICD-10 coding. Experience with Medicare and commercial payer billing. Strong attention to detail and organizational skills. Analytical and problem-solving skills in complex, ambiguous environments. Associate or bachelor’s degree in healthcare administration, finance, business, or equivalent experience may be substituted for experience. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, location, and other business and organizational needs.

Responsibilities

The specialist will manage clinical laboratory billing operations, including claim preparation, coding review, and submission to various payers. They are also responsible for resolving claim denials, monitoring aging reports, and ensuring compliance with billing regulations.