Laboratory Billing Associate

At Synchrony Health Services, we offer collaborative clinical solutions for multiple aspects of senior housing and long-term care including pharmacy, rehabilitation, and lab. United by our culture of service, we believe in blending compassion with clinical expertise, to the benefit of our partners, our employees, and most importantly, the people we serve.

Synchrony Health Services is an Ancillary division of Trilogy Health Services, which is an award winning company that is leading the way in employee benefits, professional development, personal wellness and recognition. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.

Let’s talk about benefits.

• Competitive salaries and weekly pay
• Wage increases EVERY quarter
• Student loan repayment, scholarships, and tuition reimbursement
• Health, dental, vision, and life insurance kick in on the first of the month after your start date
• 401(k) Match
• Bonuses for attendance, referrals, and gas
• Quarterly employee recognition ceremonies
• And so much more!

Synchrony Pharmacy complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Serves as a billing resource for Synchrony Lab. Provides billing support and is responsible for generating the billing for SNF contracts as well as following up on Medicare and secondary insurance claims.

Duties

1. Processes and follows up on multiple forms of insurance including: Medicare Part B, Commercial Insurance, Medicaid, etc.
2. Checks eligibility and benefits and obtains referrals and pre-authorizations as required for laboratory services.
3. Generates patient bills for accuracy and completeness, and responsible for obtaining any missing information.
4. Prepares, reviews, and transmits claims using the appropriate billing software, including electronic and paper claim processing.
5. Follows up on any unpaid claims within the standard billing cycle timeframe and checks each insurance payment for accuracy and compliance with contract discounts.
6. Calls insurance companies regarding any discrepancy in payments when necessary.
7. Identifies and bills secondary or tertiary insurances.
8. Oversees accounts for insurance and conducts any patient follow-up.
9. Follows up with claims and the appeal process as well as researches any denied claims.
10. Answers all patient or insurance telephone inquiries pertaining to assigned accounts.
11. Reviews payment plans and collection accounts.
12. Updates billing software with rate changes, cash spreadsheets, and any running collection reports.

13. Prepares end of month reporting.
14. Posts insurance, client, and patient payments.
15. Leads by Example (LBE), upholds and promotes the culture, mission, and values of Synchrony Lab.
16. Performs all job duties with a friendly positive and team-oriented approach.
17. Maintains professional/technical competencies and proficiencies for job responsibilities.
18. Complies with all Company policies, procedures, rules and standards.
19. Assists with special projects as needed.
20. Meets Expectations of Excellence for position.
21. Supports location, departmental goals, and the overall objectives of the Company.
22. Complies with all laws, regulations and standards of ethical conduct.
23. Responsible for uncompromising levels of cleanliness and safety.

• Associates or Bachelor’s Degree in accounting or business or related field preferred or an equivalent combination of education and experience.

Experience

• Three (3) to five (5) years’ billing laboratory services preferably in senior living industry or long-term care environment.
• Three (3) to five (5) years’ billing multiple forms of insurance such as Third – Party, Medicaid, and Medicare Programs.
• Exemplary computer skills that include knowledge of the Microsoft Office Suite of products.