[Hiring] Billing Representative II @Quest Diagnostics

Role Description

The individuals in this position typically work with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Responsibilities include:

• Analyzes and applies denials to third party carriers in all media types.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on decreasing the Unresponded Accounts Receivable, increasing cash, and/or reducing bad debt.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
• Creates worklist through Access database and manipulates data to analyze for trends and resolve claims for adjudication.
• Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
• Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.

This position is full-time (40 hours/week) Monday – Friday. It may be necessary, given business need, to work occasional overtime and/or weekends or holidays.

Qualifications

• High School Diploma/GED or equivalent work experience.
• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, Teams message, video conferencing.
• Strong keyboard and navigation skills and ability to learn new computer programs.
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Ability to keep all company sensitive documents secure (if applicable).
• Must live in a location that can receive a Quest Diagnostics approved high-speed internet connection or leverage an existing high-speed internet service.

Requirements

• 1+ years’ experience in A/R, Billing, and Customer Service, Insurance, or Healthcare (preferred).
• Some College level classes/coursework (preferred).
• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills (preferred).
• Medical terminology acumen and experience (preferred).

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!