Genomics Reimbursement Analyst
Genomics Reimbursement Analyst
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Salary Not Disclosed
1 Vacancy
Job Description
The Genomics Reimbursement Analyst is a member of the CooperGenomics revenue cycle team responsible for resolution of outstanding billing inquiries and collection of clinic patient and insurance revenue in an accurate and timely manner while providing exceptional customer individual is responsible for maintenance of patient and client billing records collection of payments for services submission of clean insurance claims follow-up and resolution of all outstanding balances responding to customer service inquiries and performing additional duties or assignments as directed by management.
Responsibilities
- Collections for Client and Patient Billing
- Support the processes for past-due collections. May include:
- Communication via phone and/or email
- Compilation of accessions (invoices) which have completed the dunning cycle for referral to outside collections
- Follow-up with clinics on outstanding Client-Bill AR
- Support the processes for past-due collections. May include:
- Customer Service
- Assist patients and clients with resolution of billing questions received both electronically via telephone
- Assist Client Services team with pending patient inquiries
- Accounts Receivables Analysis
- Follow-up on denials and no response insurance claims
- Daily monitoring and resolution of EP Denial errors in an accurate efficient compliant manner to ensure clean claim submission and reduce days in AR
- Research eligibility rejections including contacting of patient to determine current insurance coverage
- Communicate finding of payer trends to Manager
- Research refund requests from patients and insurance; prepare and document refunds for referral to AP
- Account reconciliation is required
Qualifications
- Associate Degree or 3-5 years relevant experience
- Healthcare revenue cycle operations experience
- Knowledge of medical billing conventions including (but not limited to) CPT ICD-10 explanation of benefits CMS-1500 form and client-style billing.
- Thorough comprehension of the differences between in-network insurance claims and out-of-network insurance claims
- Complex understanding of insurance payor requirements guidelines and appeals processes
- Extensive knowledge of patient out-of-pocket expenses including co-pays deductibles and co-insurances.
- Excellent written and verbal communications skills including the ability to effectively communicate with managers executives peers in other departments patients IVF clinics and sales personnel
- Computer competencies to include solid grasp of MS Word and above-average skill with MS Excel.
- Reliability good organization skills and able to take direction.
- Ability to work collaboratively in a team and build relationships with counterparts in other departments.
- Must be able to maintain confidentiality of data including HIPAA SOX and other similar regulations.
- Consistently meet deadlines in a fast-paced changing and high-tech environment.
This job requires use and analysis of this type of information:
- Patient billing financial status insurance coverage.
- Corporate financial marketing or business strategies
This job serves as a member of a formal team across departments. This job involves decision making and work design that affects more than one department area.
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Our Benefits:
As an employee of CooperSurgical youll receive an outstanding total compensation plan. As we believe your compensation goes beyond your paycheck we offer a great compensation package medical coverage 401(k) parental leave fertility benefits paid time off for vacation personal sick and holidays and multiple other perks and benefits. Please visit us atto learn more about CooperSurgical and the benefits of becoming a member of our team.
To all agencies: Please no phone calls or emails to any employee of CooperSurgical about this opening. All resumes submitted by search firms/employment agencies to any employee at CooperSurgical via-email the internet or in any form and/or method will be deemed the sole property of CooperSurgical unless such search firms/employment agencies were engaged by CooperSurgical for this position and a valid agreement with CooperSurgical is in place. In the event a candidate who was submitted outside of the CooperSurgical agency engagement process is hired no fee or payment of any kind will be paid.
We are committed to equal employment opportunity regardless of race color ancestry religion sex national origin sexual orientation age citizenship marital status disability gender gender identity or expression or veteran status. We are proud to be an equal opportunity workplace.
Required Experience:
IC
Employment Type
Full-Time
