[Hiring] Billing Representative @Quest Diagnostics

Role Description

The Billing Representative works Monday to Friday, 8:00 AM to 5:00 PM Pacific. This position typically reconciles medical claims for the purpose of collecting revenue for the organization, working with patient, client, and/or third-party insurance bills.

• Focused efforts on increasing cash and reducing bad debt.
• Apply payments and denials to third-party carriers in all media types.
• Interpret Explanation of Benefits for appropriate follow-up action.
• Complete refunds/adjustments to customer's accounts, while providing necessary back-up information to maintain accuracy.
• Contact third-party carriers to follow up on denied and unresponded claims.
• Analyze and apply denials, process and review claims.
• Perform screen scrapes.
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative to resolve billing issues.
• Handle patient indigency and bankruptcy claims.
• Make contact with insurance carriers, clients, patients, and/or other outside sources.
• Regular research involving both the web and billing systems.
• May be a certified Medical Coder and/or involved with medical coding.
• Maintain Compliance and HIPAA standards at all times.
• Meet or exceed daily production standards.
• Meet or exceed daily quality standards.
• Ability to work on various other projects as needed.
• Ability to work overtime as needed based on departmental needs.

Qualifications

• At least one year of relevant experience and/or completion of a medical administration course.
• Medical terminology knowledge.
• Must be able to key 55 WPM with 95% accuracy.
• Meet established production and quality standards.
• Familiarity with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications and basic IT troubleshooting.

Requirements

• 1-3 years of experience in A/R, Billing, Customer Service, insurance, or healthcare preferred.
• Understands multiple billing requirements across various payers and states.

Skills

• Ability to work well with a fast-paced team and environment.
• Ability to adapt to changes.
• Excellent communication skills, both verbal and written.
• Ability to multi-task.
• PC Skills, with specific proficiency in Excel and data entry.
• Basic math skills.
• Good organizational skills.
• Ability to work independently and as part of a team.

Education

• High School Diploma or Equivalent (Required).

Languages

• English (Required).

Benefits

• Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours.
• Best-in-class well-being programs.
• Annual, no-cost health assessment program Blueprint for Wellness®.
• healthyMINDS mental health program.
• Vacation and Health/Flex Time.
• 6 Holidays plus 1 "MyDay" off.
• FinFit financial coaching and services.
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service.
• Employee stock purchase plan.
• Life and disability insurance, plus buy-up option.
• Flexible Spending Accounts.
• Matching gifts program.
• Education assistance through MyQuest for Education.
• Career advancement opportunities.
• And so much more!