Advanced Medical Billing & Reimbursement Specialist II

NeoGenomics Laboratories; United States; Vor Ort; USD 42.000 - 64.000; Vollzeit

Zusammenfassung

NeoGenomics Laboratories is seeking a Billing Reimbursement Specialist II to manage medical claim reconciliation and revenue collection. You will work with third-party payers across HMO, PPO, Medicare, and government programs, ensuring accurate payer assignment and patient billing.

The role emphasizes resolving denials, accurate data entry, and timely communication with payers and patients. Strong Excel/Outlook skills and attention to detail are essential in a fast-paced clinical billing

Qualifikationen

• HS Diploma or equivalent is required.
• 2 years of experience in A/R, Billing, insurance or healthcare; laboratory billing preferred.
• Experience with payer guidelines and medical necessity reviews is a plus.

Aufgaben

• Focus on increasing cash flow and reducing bad debt.
• Handle incoming correspondence and appeals, work accounts to resolution.
• Contact third-party payers to follow up on claims and denials.
• Explain medical necessity arguments to obtain payer coverage.
• Manage appeals and denial processes according to payer guidelines.
• Review EOBs and document outcomes in patient accounts.
• Escalate large payer or claims issues to supervisors with clear notes.
• Respond to billing inquiries from patients or representatives in a timely manner.

Kenntnisse

Attention to detail

Problem solving

Communication skills

Multi-tasking

Ausbildung

HS Diploma

Tools

Microsoft Outlook

Excel

Word

Internet

Intranet

Jobbeschreibung

NeoGenomics Laboratories is seeking a Billing Reimbursement Specialist II to manage medical claim reconciliation and revenue collection. You will work with third-party payers across HMO, PPO, Medicare, and government programs, ensuring accurate payer assignment and patient billing.

The role emphasizes resolving denials, accurate data entry, and timely communication with payers and patients. Strong Excel/Outlook skills and attention to detail are essential in a fast-paced clinical billing