Lab Medical Claims Biller - Houston, TX

This full-time position is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but may be in office on occasion.We seek a highly organized Ancillary AR Manager (medical claims biller) with years of experience in the healthcare industry, specifically laboratory medicine. Under the direction of the Manager of Revenue Optimization & Training, the Ancillary AR Manager is responsible for ensuring the accurate and timely processing of all claims for our Lab Ancillary. This role includes promptly addressing daily correspondence from physician practices, reviewing and appealing insurance claim denials, and following up on aged claims. The Ancillary AR Manager will review monthly and weekly accounts receivable dashboards, with a strong focus on identifying opportunities for improvement and developing a plan to implement necessary changes to meet performance expectations.Primary Job Duties:​​​​​​Manage the accounts receivable (AR), including analysis of the aged AR, identifying root cause issues, and suggesting billing rules/edits when appropriate to prevent errors and mitigate insurance denials.Maintain current knowledge of payer regulations, including ICD-10 and CPT codes.Analyze billing metrics to report on performance impacts and identify opportunities for improvement.Responsible for organizing and leading projects, and presenting in front of groupsDenial management - investigate denial sources, resolve and appeal denials which may include contacting payer representativesDrive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs)Maintain Clinical Decision Support ( CDS ) Tool for Lab OrdersMust comply with HIPAA rules and regulationsPerform other duties and special projects as assigned