Mountain View Hospital is looking for a Laboratory/Pathology Billing Specialist to join our team!

 

JOB SUMMARY:

Checks daily revenue cycle queue to ensure correct patient charges. Pull CPT report from Novopath to add charges to Cerner. Monitor reference laboratory charges that include, but not limited to: Yellowstone Pathology, Quest, Mayo Clinic, Pathology Associates and any other referencing laboratory as the lab needs change. Follow up on needs for authorizations and insurance denials as business office and billing office need assistance, additional diagnosis codes, etc.Is the lab point of contact for pathology billing related questions. Responds to requests for patient pricing as needed. Maintains client billing reports and sends to their respective facilities. Maintains records for MVH auditing as they see fit and pulls documents as needed. Other billing duties as deemed necessary and needs arise.

 

Order, collecting, process routine and specialty testing, and returning results back to provider. Obtain and process provider’s orders, and data entry. Provide excellent customer service on the phone, to patients, to providers and to other medical staff. Work well under pressure. Follow hospital policies and procedures for transporting/delivering of samples to laboratory.

 

 BENEFITS:

Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:

Medical, Dental and Vision Insurance Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off Retirement Plans (401K with up to 6% match) Earned Quarterly Bonus Program Education Reimbursement Program Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

 

DUTIES AND RESPONSIBILITIES:
 

1. Pull and review daily Novopath billing report to add patient charges to Cerner in a timely manner.
2. Keep revenue cycle hold queues to a minimum amount by staying current with adding charges.
3. Monitor daily paperwork from Pathology administrative assistants for charges needing to be added for Pathologist services, PAP’s, over reads etc.
4. Monitor reference laboratory charges that include, but not limited to: Yellowstone Pathology, Quest, Mayo Clinic, Pathology Associates and any other referencing laboratory as the lab needs change.
5. Follow up on needs for authorizations and insurance denials as business office and billing office need assistance, additional diagnosis codes, outdated orders, etc.,.
6. Lab point of contact for pathology billing related questions. Responds to requests for patient pricing as needed and works with patient financial regarding different insurance coverage if patient is not private pay.
7. Monitors and maintains client billing report throughout the month as needed to keep pricing updated and watch for inconsistencies that need corrected. Sends final bill to respective facilities each month.
8. Maintains records for MVH auditing department as they see fit and pulls documents as needed for the charge capture process.
9. Ensure that patients receive appropriate competent and quality clinical care and that customer service meets patient’s expectation.
10. Maintain, develop and utilize professional relationships with a wide range of a. Organizations and specialists including coworkers and other departments b. Maintain effective working relationships between nursing, clerical, medical and
allied health staff.
11. Organize requisitions received for collection. Maintain records of tests performed. Scan orders and lab results into electronic medical record system, print and fax lab reports to ordering provider.
12. Orients and mentors new staff members as needed by management.
13. Performs miscellaneous tasks that promote smooth operations.
14. Other duties as deemed necessary

 

About Mountain View:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.