[Hiring] Billing Reimbursement Specialist I @NeoGenomics Laboratories

Role Description

In this position you will be responsible for reconciliation of medical claims for the purpose of collecting revenue for NeoGenomics. You will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.

Core Responsibilities:

• Focus efforts on increasing cash and reducing bad debt.
• Work all incoming correspondence, appeals; review and work accounts to resolution.
• Contact Third Party Payers to follow up on claims.
• Manage appeals and denials based on payer guidelines in a timely manner.
• Knowledge of reading and understanding of EOB’s.
• Ability to understand and interpret advice/remark codes from payers.
• Create clear and detailed notes within the patients' accounts.
• Data entry, correct payer assignment to patient accounts, insurance eligibility verification.
• Review/update demographics and patient information for accuracy.
• Investigate all denied services to determine the reason for the service denial and take the next appropriate action as necessary.
• Regular research involving both the internet and billing systems.
• Use of various on and off line methods for following up on outstanding claims.
• Ensure billing records are maintained in a confidential manner and in compliance with privacy and documentation procedures.
• Meet or exceed daily production standards.

Qualifications

• 1+ year of experience in A/R, Billing, insurance or healthcare; a background in Laboratory insurance billing preferred.
• HS Diploma Required.
• Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and Payer Medical Policies associated with such codes.
• Proficient in Microsoft Outlook, Excel, Word, the Internet and Intranet and other programs/software as necessary.
• Working knowledge and hands-on experience of medical billing and reimbursement.
• Problem solving skills, using good judgment, ATTENTION TO DETAIL AND FOLLOW THROUGH ARE A MUST.
• Ability to multi-task and work in a fast-paced environment without getting distracted.
• Self-starter with the ability to work independently but also able to work on a team and take direction.
• Excellent verbal and written communication skills.
• Ability to work overtime as needed, based on department needs.

Benefits

• Highly competitive benefits with a variety of HMO and PPO options.
• Company 401k match along with an Employee Stock Purchase Program.
• Tuition reimbursement and leadership development.
• 16 days of paid time off plus holidays.
• Wellness courses and highly engaged employee resource groups.