Revenue Cycle Associate – Collections
BillionToOne
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $65,441 per year
Job Level
JuniorMid-Level
About the role
- Verify claim was submitted to correct insurance.
- Review/update patient demographics and information for accuracy.
- Process and validate payor requests and claims via correspondence, remittance advice and EOBs (i.e., identify payment discrepancies, inappropriate requests)
- Investigate all denied services to determine reason and appeal, if appropriate. Identify and report root causes associated with denials to reduce/resolve issues.
- Process assigned appeals including submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes)
- Maximize utilization of Billing system, tools and resources to support cash collection activities
- Review various reports including aging outstanding and denial reports.
- Comply with Federal and State legislation on all billing related matters.
- Comply with all Safety, Emergency, Hazard, OSHA, HIPAA, Quality Assurance and Administrative Plans, Policies, Guidelines, Protocol, and Standards.
- Support and maintain department cash and DSO goals.
Requirements
- Minimum of 4+ years specializing in Medical Collections at a diagnostics company, laboratory or other healthcare provider, doing collections from commercial payers.
- Hands-on experience handling the entire appeals process
- Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, & PPO, HMO, and Indemnity Plans structures.
- Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes.
- High School Diploma or a Bachelor’s degree from a four-year college or university
- Strong problem solving skills with ability to streamline and improve processes, use good judgment, attention to detail and follow-through are a must.
- Excellent customer service skills; excellent verbal and written communication skills
- Excellent troubleshooting and time management skills, attention to detail, utilizes time in constructive manner
- Ability to easily adapt to increased business demands
- Ability to effectively work with and resolve complex accounts & billing issues
- Self-starter, ability to work independently and be self-motivated to overachieve goals.
- Ability to effectively prioritize and multi-task
- Ability to work in fast paced environment, perform under pressure, meet tight timelines
- Establish and maintain cohesive and good working relationships
Benefits
- Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
- Open, transparent culture that includes weekly Town Hall meetings
- The ability to indirectly or directly change the lives of hundreds of thousands patients
- Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80%
- Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
- Supplemental fertility benefits coverage
- Retirement savings program including a 4% Company match
- Increase paid time off with increased tenure
- Latest and greatest hardware (laptop, lab equipment, facilities)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical collectionsappeals processCPT codingICD-10 codingHCPCS codingLCD/NCD knowledgereimbursement knowledgebilling system utilizationclaim processingpayment discrepancy identification
Soft skills
problem solvingattention to detailcustomer serviceverbal communicationwritten communicationtime managementadaptabilityindependenceprioritizationrelationship building
Certifications
High School DiplomaBachelor's degree