Billing Specialist Senior - Laboratory

The Billing Specialist Senior at Cone Health plays a vital role in managing laboratory billing, coding, and ensuring the resolution of discrepancies within billing processes. This position acts as a bridge between the Revenue Integrity and charging departments, focusing on maintaining compliance and accuracy in all billing aspects, including outreach customer management and conducting coding audits.

To qualify for the Billing Specialist Senior position at Cone Health, candidates must have a Bachelor’s degree in Hospital Administration, Business Administration, Laboratory Science, or a related field. Additionally, at least 2 years of professional experience in a hospital laboratory or healthcare setting is required, while experience in laboratory coding and billing is preferred.

In the Billing Specialist Senior role at Cone Health, you will manage laboratory billing, coding, and the resolution of discrepancies. You will assist in the daily flow of tasks within the hospital's information system for billing, support regulatory inspections, and ensure effective outreach customer management while consistently identifying areas for improvement within billing processes.

While certification is not explicitly required for the Billing Specialist Senior position at Cone Health, having a medical coding and billing certification is preferred. This additional certification can enhance your qualifications and improve your understanding of complex billing practices in the laboratory setting.

Billing Specialist Seniors at Cone Health have numerous opportunities for growth, primarily through continuous professional development and exposure to various aspects of laboratory billing processes. You'll be encouraged to enhance your skills, explore management roles, or specialize in areas such as compliance and coding as you work alongside dedicated professionals in the health industry.

When answering this question, provide details about your specific roles and responsibilities related to laboratory billing and coding. Discuss any systems you've used and challenges you've faced, focusing on how you resolved discrepancies and maintained compliance.

Emphasize your attention to detail and dedication to accuracy by describing your workflow for verifying billing claims, conducting audits, and utilizing checklists or software tools to minimize errors in billing.

Outline your systematic approach to identifying discrepancies, such as reviewing billing records, liaising with various departments, and employing effective communication strategies to resolve issues quickly and efficiently.

Discuss your familiarity with regulatory requirements and inspections, detailing your role in preparing documentation, ensuring compliance, and working cooperatively with auditors to demonstrate quality assurance in laboratory billing practices.

Show your analytical and problem-solving skills by discussing any past experiences where you identified inefficiencies in billing processes and your strategy for implementing improvements, engaging colleagues, and ensuring measurable results.

Highlight your interpersonal skills by illustrating your approach to establishing rapport with outreach customers or collaborating with internal teams, focusing on effective communication and a commitment to customer service as a Billing Specialist Senior.

Demonstrate your knowledge of the Charge Master by describing how it serves as a comprehensive list of services and billing codes, how proper maintenance ensures accurate billing, and its role in compliance and revenue integrity.

Mention specific coding systems like CPT, HCPCS, or ICD codes that you're familiar with, explaining how you've applied these codes in past roles to ensure accurate billing for laboratory services.

Share your time management techniques and any tools you use to prioritize tasks effectively, ensuring that nothing falls through the cracks in a bustling laboratory billing environment.

Discuss the importance of teamwork in laboratory billing by providing examples of collaboration with different departments, how you share knowledge and resources to overcome challenges, and the impact this has on overall billing success.