Eligibility Billing Specialist - Hybrid

The Eligibility Billing Specialist provides comprehensive advanced billing support to Pathology Billing Services, LLC to enhance the generation of accurate billing of insurance claims and patient statements. All employees are responsible for supporting the company’s goals and mission by following all company policies and procedures.

1. Work assigned client workload in a timely manner.
2. Review and resolve any front-end eligibility edits for clean claim submission(s) (i.e., patient demographics, insurance, etc.)
3. Ability to research and obtain specific insurance plan information such as payor address, clearinghouse data and other field requirements.
4. Maintains productivity and accuracy metrics per department expectations.
5. Complete status reports as required.
6. Escalate issues to management as needed.
7. Adheres to all office procedures and guidelines.

1. Must be able to communicate effectively with physicians, patients, and external customers.
2. Ability to effectively prioritize workload.
3. All other duties as assigned.

• One year of previous medical billing experience.
• Proficient computer skills and knowledge of standard office equipment
• Exceptional verbal and written communication skills
• Excellent organizational skills and ability to multitask.
• Ability to manage highly confidential information.
• Ability to exercise independent judgment.
• Ability to lift a minimum of 35 pounds and sit for extended periods of time.

The work environment characteristics described here are representative of those and employee encounters while performing the duties of this job. Pathology Billing Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, and gender identity. PBS complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.

Benefits:

Pathology Billing Services, LLC, offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), dental insurance (100% covered by the company) vision insurance, paid time off, retirement contributions (401k), & flexible spending account (FSA).