Billing Representative

QUEST DIAGNOSTICS INC; California (MO); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan with company match

Employee stock purchase plan

Vacation and flex time

Life and disability insurance

Job summary

Quest Diagnostics Inc. is hiring a Billing Representative for a Monday–Friday, 8:00 AM to 5:00 PM Pacific schedule. The role focuses on reconciling medical claims to maximize revenue, processing payments, denials, refunds, and ensuring HIPAA compliance.

Strong attention to detail and customer service are essential. Minimum one year of medical billing experience, familiarity with medical terminology, and the ability to type 55 WPM with high accuracy are required.

Qualifications

• Minimum one year of relevant experience in medical administration or billing.
• Knowledge of medical terminology.
• Typing speed of 55 WPM with high accuracy.
• Ability to meet production and quality standards.
• Familiarity with Windows PC applications and basic IT troubleshooting.

Responsibilities

• Increase cash collections and reduce bad debt.
• Apply payments and denials to third party carriers.
• Interpret Explanation of Benefits for follow-up actions.
• Process refunds/adjustments with proper backup for accuracy.
• Contact third party carriers regarding denied or unresponded claims.
• Analyze and apply denials and review claims.
• Handle inquiries from patients or their representatives to resolve billing issues.
• Assist with indigency and bankruptcy claims.

Skills

Customer service

Communication skills

Excel

Data entry

Medical terminology

Typing 55 WPM

Education

High School Diploma

Job description

Job Description

Billing Representative - Monday to Friday, 8:00 AM to 5:00 PM Pacific

Pay range: $17.20 - $23/ hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:

• 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!

In an environment where the patient is at the center of everything that we do, the individuals in this position typically reconcile medical claims for the purpose of collecting revenue for the organization. They work with patient, client and/or third-party insurance bills, and may work on one or more of these processes on a daily basis.

Responsibilities

• Focused efforts on increasing cash and reducing bad debt.
• Apply payments and denials to third party carriers in all media types.
• Interpret Explanation of Benefits for appropriate follow-up action.
• Complete refunds/adjustments to customer's accounts, while providing necessary back-up information in order to maintain accuracy.
• Contact third party carriers to follow up on denied and unresponded claims.
• Analyze and apply denials, process and review claims.
• Perform screen scrapes.
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues.
• Handle patient indigency and bankruptcy claims.
• Make have contact with insurance carriers, clients, patients and/or other outside sources.
• Regular research involving both the web andbilling systems.
• May be a certified Medical Coder and/or involved with medical coding.
• Maintain Compliance and HIPAA standards at all times Meet or exceed daily production standards Meet or exceed daily qualitystandards.
• Ability to work on various other projects asneeded.
• Ability to work overtime as needed based on departmental needs.

Qualifications

Requirements

• At least one year of relevant experience and/completion of medical administration course.
• Medical terminology knowledge
• Must be able to key 55 WPM with 95% accuracy
• Meet established production and quality standards
• Familiarity with computer and Windows PC applications, which includes the ability to navigateand learn new and complex computer system applications and basic IT troubleshooting.

Preferred Experience

• 1-3 years of experience in A/R, Billing, Customer Service, insurance, or healthcare preferred.
• Understands multiple billing requirements across varies payers and states.

Skills

• Ability to work well with a fast-paced team and environment.
• Ability to adapt to changes.
• Ability to have excellent communication skills, both verbal and written.
• Ability to multi-task.
• PC Skills, with specific proficiency in Excel and data entry
• Basic math skills
• Good organizational skills.
• Ability to work independently and as part of a team.

Education

High School Diploma or Equivalent (Required)

Languages

English (Required)

69039

Quest Diagnostics honors our service members and encourages veterans to apply.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.