Billing Denials Representative

CompuNet Clinical Laboratories, LLC; Moraine, Northern (OH, KY); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, and Vision coverage

Company paid life insurance

403b match

Paid holidays

Vacation, sick and personal time

Job summary

CompuNet Clinical Laboratories, LLC is seeking a Billing Specialist to perform daily account processing in the Core Lab (Moraine, OH). The role includes data entry, third-party billing, and following up on denials, with a focus on accurate, timely claims processing and positive relationships with patients, clients, and payers.

The position is full-time day shift, requiring attention to compliance, quality data entry, and efficient handling of high-volume inquiries.

Qualifications

• High school diploma or equivalent required.
• Minimum of 1 year billing experience working denials.
• Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable.

Responsibilities

• Process billing data entry and third-party billing.
• Review denials and resubmit claims.
• Communicate with patients, clients, and payers.
• Maintain accurate data and statistics.
• Support the Billing Department in daily tasks.
• Adhere to compliance regulations and company policies.
• Handle order entry and resolve missing information.
• Utilize translation tools for entering billing codes.
• Work effectively with internal and external stakeholders.
• Investigate un-adjudicated claims and resolve outstanding accounts.
• Process Medicare denials and monitor payer rejections.
• Work in a fast-paced, high-volume environment.

Skills

Billing experience

Denials management

Medicare knowledge

Education

High school diploma or equivalent

Job description

Job Description

Posted Thursday, August 13, 2026 at 4:00 AM

Located at our Core Lab (Moraine, OH)

Full-time Day Shift

Position Summary

Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing and follow up; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers.

Responsibilities

• Maintain organized workflow for efficient account processing and seamless task handover during absences.
• Adhere to departmental processes, consulting supervisors when needed.
• Demonstrate strong customer service skills to enhance department and organizational reputation.
• Foster teamwork and meet or exceed work standards.
• Possess working knowledge of compliance regulations and apply them effectively.
• Follow company policies and maintain accurate statistical data.
• Accurately perform order entry and resolve missing information.
• Utilize translation tools for entering codes into billing systems.
• Communicate effectively with internal and external stakeholders.
• Apply payment details accurately and handle overpayments or refunds.
• Review Explanation of Benefits from various payers.
• Investigate un-adjudicated claims and resolve outstanding accounts.
• Process Medicare denials and monitor payer rejections.
• Handle fast-paced, high call volume environments with strong multitasking skills.
• Focus on positive customer impact and utilize effective verbal and written communication.
• Research collection accounts and correct system errors.
• Perform additional duties and projects as assigned.

Qualifications

• High school graduate or equivalent required.
• Minimum of 1 year billing experience working denials.
• Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable.

Safety & Physical Demands

• Visual acuity and hand-finger dexterity for extended computer work.
• Ability to sit at computer workstation for prolonged periods.
• Sound reasoning ability and independent judgment.
• Capacity to work within specified deadlines.
• Excellent communication and interpersonal skills.
• Ability to remain calm in stressful situations.
• Adherence to safety, ergonomic and health policies.
• Compliance with PPE requirements in lab or biohazard areas.
• Completion of required safety training and health evaluations promptly.
• Proactive approach to identifying and addressing safety hazards, promoting safety awareness.

CompuNet offers a full benefits package including Medical, Dental, and Vision coverage. Company paid life Insurance and 403b match. Paid holidays, vacation, sick and personal time.

CompuNet Clinical Laboratories is an equal opportunity employer does not discriminate against any employee or applicant for employment.