Remote Billing Specialist II

Quest Diagnostics Incorporated; Irving (TX); Hybrid; USD 23,000 - 33,000; Full time

Benefits offered by this job

Day 1 Medical coverage

401(k) with company match

Employee stock purchase plan

Paid time off

Job summary

Quest Diagnostics is seeking a Billing Representative II in West Norriton, PA. The role focuses on reviewing and resolving insurance claims, interpreting explanations of benefits, and supporting cash flow through accurate denials management and data analysis.

The position offers a Monday–Friday schedule, with potential overtime or weekend hours as needed, and a comprehensive benefits package. Strong computer skills and attention to detail are essential for success.

Qualifications

• High School Diploma or equivalent required.
• Proficiency with Windows PC apps such as Outlook and Excel; comfortable with Teams and video conferencing.
• Must have a dedicated private work area and keep sensitive documents secure.

Responsibilities

• Analyzes and applies denials to third-party carriers across media types.
• Complies with Business Rules and SOPs.
• Focuses on decreasing A/R, increasing cash, reducing bad debt.
• Interprets explanations of benefits for follow-up actions.
• Uses automation to verify eligibility and claim status.
• Creates worklists in Access and analyzes data for trends and adjudication.
• Reviews denied claims across systems to capture data for processing.
• Communicates with members/providers to resolve claim issues clearly.
• Performs data entry and re-work for adjudication of claims.
• Works on other projects as needed and meets performance goals.
• Hour requirement: 40 hours/week; overtime and/or weekends possible.

Skills

Communication

Problem solving

Multitasking

Adaptability

Education

High School Diploma/GED

Some College coursework

Tools

Outlook

Excel

Teams

Video conferencing

Job description

Job Description

Billing Representative II - West Norriton, PA, Monday to Friday, 8:00 AM to 5:00 PM Eastern

You’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. You’ll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast-paced environment. This is your chance to take your career to the next level as you support teams by reviewing and investigating claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review.

You will leverage your skills and have the ability to:

• Multi-task and work independently and as part of a team.
• Demonstrate excellent communication, organization and problem solving
• Adapt to change in a fast-paced environment
• Join a cross-functional focused team with many opportunities for cross-training and skill/career development
  

Pay range: 17.20+/hr

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:

We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

• 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!

Responsibilities:

• Analyzes and applies denials to third party carriers in all media types.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
• Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
• Reviews and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
• Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
• This position is full-time (40 hours/week) Monday – Friday. It may be necessary, given business need, to work occasional overtime and/or weekends or holidays.

Qualifications:

Required Qualifications:

• High School Diploma/GED or equivalent work experience.
• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, teams message, video conferencing.
• Strong keyboard and navigation skills and ability to learn new computer programs
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a Quest Diagnostics approved high-speed internet connection or leverage an existing high-speed internet service
  

Preferred Qualifications:

• 1+ years’ experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.
• Some College level classes/coursework
• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem solving skills
• Medical terminology acumen and experience.

Preferred Skills:

• Ability to resolve calls, avoiding escalated complaints.
• Ability to exhibit empathy and be courteous to callers.
• Ability to triage and handle escalated situations.
• Ability to work in a fast-paced environment.
• Ability to adapt to changes.

• Ability to develop and maintain client relationships.

This position is primarily telecommuted, however, you must be available to go into the office as needed for training, meetings, etc., depending on business needs. Preferred telecommuting location that is within 1-1.5 hours travel time from an office location.

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

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

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