Providence Health & Services Laboratory Revenue Specialist in Olympia, Washington
Providence is calling a Laboratory Revenue Specialist (1.0 FTE, Day Shift) to Providence St. Peter Hospital in Olympia, WA
In this position you will:
Review, audit and add blood bank charges: Exhibits a complete understanding of transfusions services charging requirements and completes this task daily
Correctly determines when and what modifier is appropriate for the testing: Charges are posted on the correct patient accounts for the service provided.
Take responsibility to ensure that all billing for miscellaneous testing is completed in a timely fashion: Completes all miscellaneous charging within the required limit by One Revenue Cycle (ORC).
Audit and reconcile reference lab and Cellnetix charges: Review monthly bills to assure accuracy
Review Chargemaster annually for CPT code updates: CPT updates completed in Nov. for new year.
Review reimbursements and denials: Work with contacts in ORC to review and find solutions
Quantify write-offs: Report monthly what is not getting billed and the reasons
Validate charges in EPic: review all changes made on tests to assure billing is correct.
Complete CCI edits: Performaed accurately within expected timeframes.
Input late charges timely: Develop process and reports to help minimize unbilled late charges.
Monitor and report charge capture and reimbursement status: Monthly dashboard to be reported monthly.
Quality Assurace and Quality Improvement: Maintains ongoing and overall quality of the billing process, relative to meeting patients and customer's needs.
Regulatory Activities: Collaborates with Nursing Service and other departments where POC testing occurs to ensure billing compliance with all standards and regulations.
Technical Activities:Provides expertise and support.
Required qualifications for this position include:
Associate's Degree in business administration, healthcare administration, laboratory science or related field, or equivalent education/experience.
Preferred qualifications for this position include:
Bachelor's Degree in business administration, healthcare administration, laboratory science or related field
3 years in medical billing or coding experience
MT/CLS Certified or MLT Certified
About the hospital you will serve.
Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital. Located in Olympia, WA, St. Peter offers comprehensive rehabilitation, medical, surgical and behavioral health services. We have been ranked as one of the top 100 hospitals and as one of 10 premier healthcare employers in the nation and have recently achieved the coveted Magnet®" recognition from the American Nurses Credentialing Center®. Our hospital rests on a 173-acre campus, much of which includes natural forest and preserved wetlands that maintain a healing environment for patients and staff.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing/Insurance
Req ID: 281841