Claims Resolution Specialist - Lab Billing
Advantia is seeking a Claims Resolution Specialist specializing in Lab Billing to join our team! As a Claims Resolution Specialist (Lab Billing), you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager. Job Responsibilities: Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals. Initiating EFT (electronic funds transfer) set up with payers & third-party portals. Assist in vendor support of daily cash reconciliation duties. Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials. Clear understanding of reconciling offset/recoupment payer remits. Call carriers and third parties to resolve unidentified payments/reconcile items. Responsible for maintaining payer portal admin and employee registration. Assist the RCM Manager with various projects. Job Requirements: High School/GED Education required Previous experience in medical billing or a related field is preferred. Proficiency in electronic health records and billing software preferred. Athena experience required. Benefits & Compensation : Health, Dental, and Vision Insurance Health Savings Account (HSA) and Flexible Savings Account (FSA) Option 401k Retirement Plan Life and Disability Insurances Paid holidays/PTO Please note: Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment. Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.