Job Description
Job Description
Job Title: Billing Technician
Department / Unit: LabInfo / Billing
Immediate Supervisor: Administrative Manager
Classification: Non-exempt
Nature of the Position: Serve as an expert in the LabInfo billing system for clients. Perform technical work aimed at implementing, guiding, training, identifying, managing, and resolving service queries and/or requests related to the billing of laboratory services. Make referrals as required to the corresponding units.
Essential Duties and Responsibilities:
- Attend to calls from, and/or generate calls to, clients who generate service calls to identify and diagnose the problem with the billing module and determine if the service will be performed remotely or on-site. Services may include, but are not limited to:
- Updating the module according to billing changes issued by insurance companies.
- Creating and configuring directories for submissions to insurers.
- Configuring form 1500.
- Configuring billing files.
- Detecting patient entry errors.
- Supporting the reconciliation and re-billing process for clients. This includes, but is not limited to:
- Verifying that the required steps are followed or have been followed.
- Detecting errors and correcting them and/or escalating and collaborating with the personnel responsible for correcting them.
- Explaining the resolution to the client.
- Feeding the billing module in all areas when new installations are made. These tasks may include, but are not limited to:
- Installing diagnostic codes.
- Entering information related to insurance companies.
- Creating covers and their respective rates.
- Configuring CPT codes.
- Training new clients on the billing module.
- Training clients when updates and revisions ("updates" and "upgrades") related to the billing module are made.
- Preparing and delivering a detailed report daily on the tasks performed during the shift.
- Completing the ISO form when a service is executed to be billed.
- Establishing and maintaining responsible, honest, timely, professional, and courteous communication with supervisors, coworkers within and outside the department, clients, consultants, contractors, and any other person related to the service delivery.
- Actively contributing to cultural transformations, as well as maintaining the company's mission and achieving its vision; exemplifying through performance and conduct the philosophy of efficiency culture, company values, and principles of high-quality internal and external customer service.
Incidental Duties and Responsibilities:
- Generating and closing service tickets with clients.
- Providing support in the process of answering phone calls that come to the switchboard.
- Keeping updated on the latest developments in our applications, as well as technological advances, changes, and developments applicable to their functions and the industry, as they apply to their functions.
- Attending and participating as required in meetings, presentations, and professional development and training activities.
- Other tasks as necessary.
Work Contacts:
Internal Contacts:
- Administrative Manager
- Programmers
- Information Specialists
- IT Specialist
- IT Technician
- LabInfo Administrative Assistant
- Leaders and employees of all departments
- Personnel
External Contacts:
- Clients
- Prospects or potential clients
- Suppliers
- Consultants
- Independent contractors
Impact of the Position on the Organization:
If the tasks described above are not performed adequately, it could affect: the client's billing process causing delays in their daily operation, the normal flow of daily operations, the project work plan, and the quality of the excellent service required to be provided to clients.
Supervisory Responsibilities:
This position does not perform supervisory functions. Receives direct supervision from the LabInfo Administrative Manager and training, guidance, and/or direction from Programmers.
Academic Preparation:
Billing course for medical plans.
Professional Experience:
Minimum one year of experience in billing for health services and/or clinical laboratories.
Other Requirements:
Valid motor vehicle driver's license. Motor vehicle in condition to travel throughout the island of Puerto Rico.
Job Competencies:
Knowledge, skills, abilities, and aptitudes necessary to perform the position:
- Extensive knowledge of coding manuals (ICD-9, ICD-10, and CPT)
- Excellent listening and verbal and written communication skills in Spanish and English
- Knowledge of electronic billing modules
- Excellent customer service skills, professional projection, and interpersonal relationships
- Good organizational, prioritization, coordination, and time management skills
- Good teamwork skills
- Good skills to work under pressure
- Ability to handle multiple tasks simultaneously and meet deadlines
- Availability to work holidays, weekends, and extended hours as necessary
- Availability to travel throughout the island of Puerto Rico
- Ability to impart instructions and transmit knowledge effectively
- Ability to exercise discretion and confidentiality
- Excellent emotional management
- Extensive knowledge of Microsoft Windows applications, including Word, Excel, PowerPoint, and Outlook
Physical Demands:
Physical demands:
- Short time
- Moderate time
- Most of the time
Work Equipment:
Files, computer (keyboard and mouse), calculator, telephone, photocopier, fax machine, and general office supplies (e.g., paper, pens, envelopes, folders, etc.).
Environment:
Closed office with air conditioning and moderately cold temperature or the interior of your motor vehicle.
Disclaimer Clause:
The information contained herein summarizes the general nature of the competencies and the degree of complexity of the functions established for the personnel performing this position. Its content should not be interpreted as an exhaustive inventory of all functions, tasks, and responsibilities of the position. Other tasks may be added or existing ones may be modified as stipulated by the company.
“We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.”
"Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status."
"EEO/Affirmative Action for Veterans/Workers with Disabilities”