Billing Reimbursement Specialist II

Description

• Focus efforts on increasing cash and reducing bad debt
• Understands the various NeoGenomics products and tests and can present reasonable arguments for medical necessity on behalf of the patient in order to obtain coverage from the insurance payer
• Appeals and denial management based on payer guidelines in a timely manner
• Knowledge of reading and understanding of EOB’s
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
• Review and work various reports including aging
• Ability to understand and interpret advice/remark codes from payers
• Data entry, correct payer assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.
• Investigate all denied services to determine the reason for the service denial and take the next appropriate action as necessary
• Additional Responsibilities (may be assigned)

• High School Diploma at minimum required.
• 2 years of experience in A/R, Billing, insurance or healthcare; a background in Laboratory insurance billing preferred
• Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and Payer Medical Policies associated with such codes.
• Proficient in Microsoft Outlook, Excel, Word, the Inter and Intranet and other programs/software as necessary. Working knowledge and hands-on experience of medical billing and reimbursement.

All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.