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Patient Information Specialist

CLS Connect · Irvine, CA

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The Missing Patient Information Specialist is responsible for obtaining incomplete or missing patient, insurance, and ordering provider information necessary for accurate laboratory claim submission and specimen processing. This position serves as a liaison between the laboratory, physician offices, clinics, hospitals, and other healthcare providers by proactively contacting clients to resolve missing documentation and demographic information. The specialist plays a critical role in reducing billing delays, claim denials, and processing errors while maintaining compliance with HIPAA and company policies.Essential Duties and Responsibilities:• Contact physician offices, hospitals, clinics, and other healthcare providers by telephone, fax, email, or secure electronic communication to obtain missing patient demographics, insurance information, diagnosis codes, physician orders, and requisition details.• Review laboratory requisitions and billing records to identify incomplete or inaccurate information.• Research patient accounts to verify and update demographic and insurance information.• Document all communication attempts and updates accurately within the laboratory informationsystem (LIS), billing system, or CRM.• Follow established workflows for unresolved accounts, including escalation procedures and follow- up timelines.• Communicate professionally and courteously with medical office staff, physicians, nurses, billingdepartments, and internal personnel.• Collaborate with Billing, Accessioning, Client Services, and Revenue Cycle departments to resolveoutstanding documentation issues.• Monitor work queues to ensure timely resolution of missing information and meet departmentalproductivity goals.