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. Apply tot his job