This Laboratory Business Operations Specialist position is with Phoenix Children's in Phoenix, AZ.
This position works in the Business Operations team, serving as a key technical resource while providing strategic guidance and expertise to all laboratory departments. This role is responsible for optimizing prompt and accurate billing for all hospital laboratory and pathology professional billing services, including but not limited to, reviewing system error reports and resolution of billing exceptions, auditing of referral lab invoices, developing and maintaining reference testing 3rd party billing workflows, providing support for all clinical and anatomic pathology billing needs, and ensuring laboratory billing is current and appropriate for all testing. Recommends CPT codes for in-house and reference lab testing and provides guidance to Laboratory and Revenue Integrity teams. This role is also responsible for monitoring healthcare rules and regulation changes to maintain billing compliance. It will partner with hospital billing and finance teams in the development and execution of billing process improvements related to compliance and reimbursement of laboratory testing and development and maintenance of policies and procedures.