Regional Lab Billing Specialist-Full time-Central

Regional Lab Billing Specialist

At MercyOne, health care is more than just a doctor's visit or a place to go when you need medical attention. Our Mission is based on improving the health of our communities that means not only when you are sick but keeping you well. MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa's largest medical center, with 802 beds available. The hospital is one of the Midwest's largest referral centers. With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa's largest employers.

Join the MercyOne Family as a Regional Lab Billing Specialist.

As a Lab Billing Specialist you will provide charge entry, insurance expertise, registration, and customer service to assist the laboratory department and patient and/or client through the revenue cycle for hospital and outreach accounts.

Schedule: 8-430 Monday - Friday.

General Requirements:

• Maintains functional knowledge of charge entry, CPT, and ICD-10 changes, coding practices, and insurance terminology.
• Enters daily department charges, credit or add charges.
• Monitors reports and work queues for appropriate charging, coding/modifiers, transferring charges, correcting charges, reconciling charges, following up on delinquent reports, and problem solving with staff.
• Verifies that the diagnosis codes and corresponding laboratory tests meet the medical necessity criteria to assure claims are paid on the first submission. Work with ordering personnel, including physician's office staff, to resolve any discrepancies and provide education.
• Responsible for updating patient registrations as needed by utilizing hospital and laboratory policies and procedures.
• Keeps abreast of insurance carrier rules and changes by participating in carrier specific education opportunities and email notifications.
• Meets charge posting deadlines and timely reviews/resolves accounts holding for review/additional information/correction.
• Works proficiently in EPIC and XIFIN's system to manage work queues supporting timely claims processing, client or patient billing.

Minimum Qualifications:

• High School or GED required.
• One year experience with healthcare billing and coding preferred. Experience in accounts receivable or banking also considered.
• Associates Degree or Bachelor's degree preferred.
• Laboratory billing experience preferred.
• Basic knowledge of third party payor, insurance, and regulatory requirements preferred.
• Working knowledge of computer information systems that utilize several computer applications concurrently.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System's circle of care.

Des Moines

Iowa's capital city offers a balanced urban-suburban experience with a cost of living below the national average. It's ranked among the top safest large metros and boasts strong education options, including highly rated public schools, private academies and nearby universities like Drake University and Grand View University. Cultural highlights include theaters, museums, music festivals and a thriving food scene, while outdoor enthusiasts enjoy extensive parks and bike trails. Located just minutes from the airport, Des Moines offers easy access to regional attractions and a welcoming, community-focused atmosphere.

MercyOne Des Moines Medical Center is a leading 656-bed acute?care, not?for?profit Catholic hospital and one of Iowa's largest employers. Founded in 1893, it's the longest continuously operating hospital in Des Moines. Accredited as a Top Regional Hospital by U.S. News & World Report, named one of Becker's 100 Great Hospitals, and ranked among the top 50 cardiovascular hospitals by IBM Watson Health. With Joint Commission Gold Seal accreditation, stroke and heart care awards, CAP-accredited lab and ACS-certified Cancer Center, this flagship facility offers comprehensive services including robotic surgery, cancer care, neurosciences, rehab, emergency/trauma, maternity, behavioral health and a robust nursing excellence program.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.