Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity.
We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety of HMO and PPO options. We have company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture!
NeoGenomics is looking for a Billing Reimbursement Specialist I who wants to continue to learn in order to allow our company to grow.
Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics:
As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory.
Position Summary:
In this position you will be responsible for reconciliation of medical claims for the purpose of collecting revenue for NeoGenomics. They will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
Core Responsibilities:
- Focus efforts on increasing cash and reducing bad debt
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Work all incoming correspondence, appeals; review and work accounts to resolution
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Contact Third Party Payers to follow up on claims
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Appeals and denial management based on payer guidelines in a timely manner
- Knowledge of reading and understanding of EOB’s
- Ability to understand and interpret advice/remark codes from payers
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Data entry, correct payer assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.
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Investigate all denied services to determine the reason for the service denial and take the next appropriate action as necessary
- Ensure billing records are maintained in a confidential manner and in compliance with privacy and documentation procedures.
- Additional Responsibilities (may be assigned)
Requirements:
- HS Diploma
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1 year of experience in A/R, Billing, insurance or healthcare; a background in Laboratory insurance billing preferred
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Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and Payer Medical Policies associated with such codes.
- Working knowledge and hands-on experience of medical billing and reimbursement.
- Excellent verbal and written communication skills.
- Ability to work overtime as needed, based on department needs
