jobapplier

Billing Representative Lab Travel

TridentCare

Essential

Duties

and

Responsibilities

Error

Management

and

Claims

Resolution

  • Research,
  • analyze,

and

resolve

lab travel errors

.

Submit

claims

to

the

appropriate

payer

for

reimbursement

when

required.

Documentation

and

Compliance

Ensure

  • detailed,
  • accurate,

and

compliant

account

notes

are

entered

into

the

billing

system

for

all

billing

activities.

Maintain

complete

audit

trails

within

billing

systems

to

support

claim

processing

and

reimbursement

validation.

Ensure

required

documentation

is

properly

attached

and

maintained

for

compliance

and

audit

readiness.

Review

documentation

for

completeness

and

accuracy

prior

to

claim

submission.

Support

internal

and

external

audits

by

providing

requested

documentation

and

claim

history

records.

Adhere

to

all

  • CMS,
  • HIPAA,
  • Medicare,

and

organizational

compliance

requirements.

Revenue

Cycle

Support

Collaborate

with

billing

leadership, external

and

internal

departments

to

improve

operational

efficiency

and

reimbursement

outcomes.

Maintain

  • productivity,
  • quality,

and

compliance

standards

established

by

management.

Additional

Responsibilities

Foster

a

collaborative

team

environment

by

supporting

coworkers,

sharing

best

practices,

and

contributing

to

department

goals

and

success.

Perform

other

related

  • duties,
  • projects,

and

responsibilities

as

assigned

by

management.

This job description

is

not

intended

to

be

an

exhaustive

list

of

all

  • duties,
  • responsibilities,

or

qualifications

associated

with

the

position.

Responsibilities

may

be

  • added,
  • modified,

or

reassigned

based

on

business

needs

and

organizational

requirements.

Qualifications

Education

High

School

Diploma

or

GED

required.

Experience

Knowledge of excel preferred.

Experience

working

with

skilled

nursing

facilities

and

hospice

providers

preferred.

Medicare billing

experience

is

a

plus

but

not

  • required.
  • Knowledge,
  • Skills,

and

Abilities

Basic computer skill required.

Understanding

of

time zone differences

  • .
  • Billing knowledge is a plus.
  • Attention to detail is required.
  • Ability to follow compliance guidelines.

Excellent

customer

service

and

interpersonal

skills.

Ability

to

communicate

professionally

and

effectively

with

external

customers and internal customers.

Strong

written

and

verbal

communication

skills.

Must

be

a

team

player

with

the

ability

to

collaborate

effectively

across

departments,

support

team

initiatives,

share

knowledge,

and

contribute

to

a

positive

work

environment.

Demonstrated

ability

to

build

and

maintain

productive

working

relationships

with

  • coworkers,
  • leadership,

Sales

Teams,

and

business

partners.

Proficiency

in

billing

systems,

Microsoft

  • Excel,
  • Outlook,

and

other

business

applications.

Ability

to

prioritize

workload

and

meet

deadlines

in

a

fast-paced

environment.