BillionToOne

Compensation

Full Description

Job Description: • Verify claim was submitted to correct insurance. • Review/update patient demographics and information for accuracy. • Process and validate payor requests and claims via correspondence, remittance advice and EOBs (i.e., identify payment discrepancies, inappropriate requests) • Investigate all denied services to determine reason and appeal, if appropriate. Identify and report root causes associated with denials to reduce/resolve issues. • Process assigned appeals including submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes) • Maximize utilization of Billing system, tools and resources to support cash collection activities • Review various reports including aging outstanding and denial reports. • Comply with Federal and State legislation on all billing related matters. • Comply with all Safety, Emergency, Hazard, OSHA, HIPAA, Quality Assurance and Administrative Plans, Policies, Guidelines, Protocol, and Standards. • Support and maintain department cash and DSO goals. Requirements: • Minimum of 4+ years specializing in Medical Collections at a diagnostics company, laboratory or other healthcare provider, doing collections from commercial payers. • Hands-on experience handling the entire appeals process • Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, & PPO, HMO, and Indemnity Plans structures. • Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes. • High School Diploma or a Bachelor’s degree from a four-year college or university • Strong problem solving skills with ability to streamline and improve processes, use good judgment, attention to detail and follow-through are a must. • Excellent customer service skills; excellent verbal and written communication skills • Excellent troubleshooting and time management skills, attention to detail, utilizes time in constructive manner • Ability to easily adapt to increased business demands • Ability to effectively work with and resolve complex accounts & billing issues • Self-starter, ability to work independently and be self-motivated to overachieve goals. • Ability to effectively prioritize and multi-task • Ability to work in fast paced environment, perform under pressure, meet tight timelines • Establish and maintain cohesive and good working relationships Benefits: • Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients • Open, transparent culture that includes weekly Town Hall meetings • The ability to indirectly or directly change the lives of hundreds of thousands patients • Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80% • Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%) • Supplemental fertility benefits coverage • Retirement savings program including a 4% Company match • Increase paid time off with increased tenure • Latest and greatest hardware (laptop, lab equipment, facilities)