Lab Report Verification Executive

We are looking for a detail-oriented Lab Report Verification Executive to support US laboratory billing operations by ensuring accurate verification of lab orders, patient demographics, and insurance eligibility. The role involves close coordination with clients, laboratories, and internal billing teams to maintain data accuracy and reduce claim rejections.

Key Responsibilities

• Verify laboratory test orders for completeness and accuracy before billing
• Review and validate patient demographics (name, DOB, address, insurance details)
• Perform insurance eligibility and benefits verification for US payers
• Identify missing or incorrect information and resolve discrepancies proactively
• Conduct client calling (physicians offices, labs, or facilities) to obtain required details
• Ensure compliance with HIPAA and US healthcare data privacy standards
• Coordinate with billing and AR teams to prevent claim denials
• Maintain proper documentation and follow internal SOPs
• Meet daily productivity, quality, and TAT benchmarks

Required Skills & Qualifications

• 1–2 years of experience in US laboratory billing / medical billing / RCM
• Strong understanding of lab order workflows and pre-billing verification
• Knowledge of patient demography and insurance eligibility processes
• Experience working with US insurance portals and payer guidelines
• Excellent verbal communication skills for client calling
• Familiarity with EMR/EHR and laboratory billing systems
• Strong attention to detail and accuracy
• Willingness to work night shifts (US time zone)