Billing Reimbursement Specialist I

NeoGenomics; United States; Remote; USD 42,000 - 56,000; Full time

Benefits offered by this job

Tuition reimbursement

401(k) match

Employee Stock Purchase Program

Paid time off

Job summary

NeoGenomics is seeking a Billing Reimbursement Specialist I to support remote operations in the United States. You will reconcile medical claims and collaborate with third-party payers to maximize revenue while ensuring accuracy and compliance.

The role demands 1+ year in A/R or healthcare billing, HS diploma, and proficiency with Outlook, Excel and Word. Join a team committed to learning and patient-centered focus.

Qualifications

• 1+ year of experience in A/R, Billing, insurance or healthcare.

Responsibilities

• Focus efforts on increasing cash and reducing bad debt
• Work incoming correspondence, appeals; review accounts to resolution
• Contact Third Party Payers to follow up on claims
• Appeals and denial management 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
• Creates clear and detailed notes within the patients account
• 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
• Additional Responsibilities (may be assigned)

Skills

Accounts receivable

Billing processes

Healthcare industry

Attention to detail

Communication skills

Education

HS Diploma

Tools

Microsoft Outlook

Excel

Word

Job description

Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity.

We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety of HMO and PPO options. We have company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture!

NeoGenomics has an opening for a Billing Reimbursement Specialist I operating Remotely who wants to continue to learn in order to allow our company to grow.

Schedule: Monday to Friday 8:00am to 4:30pm

Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics:

As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory.

Position Summary:

In this position you will be responsible for reconciliation of medical claims for the purpose of collecting revenue for NeoGenomics. They 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
• Appeals and denial management 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
• Creates clear and detailed notes within the patients account
• 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
• Additional Responsibilities (may be assigned)

Experience, Education and 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 Inter 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