Billing Reimbursement Specialist I

NeoGenomics Laboratories; United States; À distance; USD 40 000 - 55 000; Plein temps

Résumé du poste

A leading laboratory company is seeking a Billing Reimbursement Specialist I to manage medical claims reconciliation and billing inquiries. The successful candidate will have at least a High School Diploma and 1 year of relevant experience, preferably in laboratory billing. Responsibilities include appealing denied claims and ensuring accurate data entry, all while supporting the company's initiatives in an evolving remote role. This position focuses on enhancing cash flow while assisting patients in navigating their insurance billing issues.

Qualifications

• 1 year of experience in A/R, Billing, insurance or healthcare, preferably in laboratory billing.
• Working knowledge of CPT, ICD-10, and HCPCS coding systems.
• Proficient in medical billing software.

Responsabilités

• Reconciliation of medical claims for revenue collection.
• Appeals and denial management based on payer guidelines.
• Investigate denied services and take appropriate actions.

Connaissances

A/R experience

Billing knowledge

Microsoft Excel proficiency

Understanding of medical coding

Formation

High School Diploma

Outils

Microsoft Outlook

Microsoft Word

Description du poste

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. NeoGenomics is looking for a Billing Reimbursement Specialist I who wants to continue to learn in order to allow our company to grow. This position is a temporary, remote role with a Monday - Friday day shift.

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
• Understands the various NeoGenomics products and tests and can present reasonable arguments for medical necessity on behalf of the patient in order to obtain coverage from the insurance payer
• Appeals and denial management based on payer guidelines in a timely manner
• Knowledge of reading and understanding of EOB’s
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
• Review and work various reports including aging
• Ability to understand and interpret advice/remark codes from payers
• 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
• Additional Responsibilities (may be assigned)

Requirements

• High School Diploma at minimum required.
• 1 years of experience in A/R, Billing, insurance or healthcare; a background in Laboratory insurance billing preferred
• 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.