Lab Coding and Billing Specialist
8 hours ago
Job Summary: The Lab Coding and Billing Specialist is responsible for accurately coding and billing laboratory procedures to ensure timely, compliant, and complete claim submissions. This role involves reviewing patient lab results, assigning appropriate billing codes, verifying charges, and coordinating with internal teams and insurance providers to maintain billing accuracy and compliance. Key Responsibilities: Billing and Coding: Assign accurate CPT, ICD, and HCPCS codes for laboratory procedures such as biopsies, blood tests, specialized tests, and cytology reports. Claim Processing: Prepare, submit, and track insurance claims to ensure timely and accurate reimbursements. Data Matching: Match unmatched lab results to corresponding patient accounts, ensuring all services are billed correctly. Duplicate Prevention: Review billing entries and verify that no duplicate claims are submitted. Denial Management: Investigate denied or rejected claims, prepare appeals, and follow up to secure reimbursement. Insurance Verification: Verify patient insurance coverage and eligibility before billing to ensure compliance with payer requirements. EOB Review: Review Explanations of Benefits (EOBs) and correct any coding or billing errors as needed. Communication and Coordination: Communicate with insurance companies and patients to resolve billing or claim discrepancies. Coordinate with internal departments regarding pending lab reports, billing issues, and reimbursement status. Reporting and Documentation: Maintain accurate billing and collection records. Create and analyze denial reports by insurance type to identify trends and recommend process improvements. Update reimbursement tracking spreadsheets and reconcile charges versus reimbursements. Prepare and submit regular billing performance reports to management. Team Collaboration: Supervise and monitor coding activities to ensure timely and accurate task completion. Review and validate the work of coders and billers for accuracy and compliance. Coordinate with relevant departments to ensure proper requisition creation and documentation. Update and maintain requisition tracking spreadsheets as needed. Compliance and Continuous Improvement: Stay updated on billing and coding regulations for all insurance carriers. Ensure adherence to HIPAA and internal confidentiality standards. Identify and recommend improvements in billing and coding workflows. System Updates: Update patient accounts with laboratory images and results when necessary. Maintain accurate digital records for audits and reporting. Qualifications: 2–3 years of experience in medical billing and coding, preferably within a laboratory or healthcare BPO environment. Proficiency in CPT, ICD-10, and HCPCS coding systems. Strong understanding of insurance claim processing and healthcare reimbursement cycles. Working knowledge of HIPAA and data privacy requirements. Experience using EMR systems and billing software . Proficiency in Microsoft Excel for report and spreadsheet management. Excellent attention to detail, analytical, and organizational skills. Strong written and verbal communication abilities. Certification in Medical Billing and Coding (CPC, CCA, or equivalent) is an advantage. Willingness to work on flexible or shifting schedules , including weekends or holidays if required. #J-18808-Ljbffr
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Lab Coding and Billing Specialist
3 days ago
Davao City, Davao, Philippines OfficePartners, 360 Inc. Full time ₱250,000 - ₱500,000 per yearJob Summary:The Lab Coding and Billing Specialist is responsible for accurately coding and billing laboratory procedures to ensure timely, compliant, and complete claim submissions. This role involves reviewing patient lab results, assigning appropriate billing codes, verifying charges, and coordinating with internal teams and insurance providers to maintain...
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Billing Specialist
6 days ago
, Davao del Sur, Philippines TalentSync Training and Development Full timeWe are hiring a talented Billing Specialist to join our team in Davao City, Davao del Sur. This is a full‑time position that will play a crucial role in ensuring the accurate and timely billing of our clients. As a Billing Specialist, you will be responsible for processing invoices, managing accounts receivable, and providing excellent customer service to...
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BILLING SPECIALIST
2 weeks ago
, Davao del Sur, Philippines Talent Outsourcing Channel Solutions Full timeAbout the role Exciting opportunity for a Billing Specialist to join the customer service team at Talent Outsourcing Channel Solutions, a leading provider of business process outsourcing solutions. In this full-time role based in Davao City, Davao del Sur, you will be responsible for handling all aspects of billing and invoicing for the company's clients....
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Urgent Hiring for Billing Specialist
7 hours ago
, Davao del Sur, Philippines TalentSync Training and Development Full timeWe arelooking for a motivated and detail-oriented Billing Specialist to join our dynamic team in Davao City, Davao del Sur. As a Billing Specialist , you will play a crucial role in ensuring the accuracy and efficiency of our billing processes. This full-time position offers competitive compensation and the opportunity to contribute to the growth and success...
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Billing Specialist
11 hours ago
, Davao del Sur, Philippines COASTLAND CONSTRUCTION & DEVELOPMENT CORP Full timeAbout the Role We are looking for a detail-oriented Billing Specialist to join our team. You will ensure accurate billing for our transcription services. If you have a knack for numbers and enjoy keeping things organized, we want you on our team! Qualifications Bachelor's Degree in Accounting Finance or relatedfield Proficiencyin MS Excel and other common...
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Billing Specialist – Healthcare Account
4 days ago
, Davao del Sur, Philippines OfficePartners, 360 Inc. Full timeJob Summary: The Billing Specialist is responsible for managing the end-to-end billing process to ensure accurate, timely, and compliant processing of patient and insurance charges. The role supports the organization’s revenue cycle by verifying billing data, generating invoices, processing payments, and coordinating with patients, insurance providers, and...
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Billing Specialist
3 days ago
Davao City, Davao, Philippines TalentSync Training and Development Full timeWe arehiring a talented Billing Specialist to join our team in Davao City, Davao del Sur. This is a full-time position that will play a crucial role in ensuring the accurate and timely billing of our clients. As a Billing Specialist, you will be responsible for processing invoices, managing accounts receivable, and providing excellent customer service to our...
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Dental Billing Specialist
3 days ago
Philippines Remote VA Full time ₱15,000 - ₱30,000 per yearWe are looking for a Dental Billing Specialist to handle the accurate and timely entry of dental insurance claims using our dental billing software. The ideal candidate will have a strong understanding of dental procedures, insurance coding, and claim submission processes. Attention to detail, accuracy, and familiarity with dental billing systems are...
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Medical Billing Specialist
2 weeks ago
, Davao del Sur, Philippines MD-TORCH Solutions Full timeEmployee Recognition and Rewards Performance Bonus, Incentives Government Mandated Benefits Insurance Health & Wellness Health Insurance Professional Development Professional Development Work-Life Balance Flexible Hours What you’ll be doing Review delivered goods and services along with related documents (e.g., delivery tickets, prescriptions, medical...
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EHR/PM Data Migration Specialist
2 weeks ago
, , Philippines Nirvana Billing and Staffing Full timeOverview We are seeking a highly skilled EHR/PM Data Migration Specialist (Back-End Systems) with deep technical experience in eClinicalWorks (eCW) and AdvancedMD. This role focuses on the back-end architecture, data integrity, and system integrations involved in migrating healthcare organizations from legacy platforms to modern systems. You will act as the...
