About this position
Job Description
Job Description
Tesis Laboratory is seeking a billing professional. Remote work is available.
This position is responsible for all molecular genetic laboratory billing and revenue cycle management, thorough insurance benefit investigation of new referrals, a small assignment of collections with a variety of payers, authorization requests, and claim submission.
ESSENTIAL DUTIES:
- Accurately interprets patient insurance, prescription, and other health-related documentation.
- Conducts medical insurance verification and investigations for commercial and government payors.
- Communicates with insurance companies, patients, providers, and prescribers to coordinate reimbursement and access solution.
- Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
- Reviews all claims for compliance and completeness for claims submissions.
- Researches available alternative funding options to reduce patient's financial burden
- Always maintains a high degree of confidentiality due to access to sensitive information.
- Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department.
- Works with customers and affiliates on reporting, best practice, and strategic planning to optimize growth within a compliant environment.
- Reviews and designs KPI to ensure proper financial performance of assigned Laboratory clients.
- Follows all Medicare, Medicaid, and HIPAA regulations and requirements.
- Abides by all regulations, policies, procedures, and standards.
POSITION REQUIREMENTS & COMPETENCIES:
- High school diploma or equivalent is required; Undergraduate degree is preferred.
- Experience in Genetic Lab Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment is required.
- Computer proficiency -- MS Office and Web-enabled applications strongly preferred
- Customer service skills required.
- Understanding of the requirements of Medicaid, Medicare, and Insurance billing for genetic laboratories in all MAC’s is required.
- 5 years’ experience with Laboratory medical billing.
- 3 years minimum with Cancer Genomics billing.
- 1 year with R & D of molecular genetics panels.
- Certified Medical coder or biller with AHIMA or affiliated organization.
- Experience with managing clients and/or employees preferred.
Location and commute
1475 Western Ave Ste 51, Albany, NY 12203.
Plan your route with Google Maps. Travel times and transportation options vary; confirm the work location with the employer before commuting.
How to apply
Review the vacancy and complete the application on the employer or recruitment partner’s website. Requisition ID: WJ-3099891503.