Revenue Cycle Billing Specialist

Eurofins Transplant Genomics Inc. (ETG) is a molecular diagnostics company committed to improving organ transplant outcomes with non-invasive serial monitoring guided by biomarkers. ETGs product portfolio of both individual and combined whole blood gene expression and donor derived cell-free DNA testing is capable of reliably ruling out subclinical kidney rejection and acute rejection in kidney transplant addition to kidney transplantation testing our newest product for liver transplant patients is a blood-based biomarker assay designed to rule out rejection as immunosuppression therapy is optimized. 

Basic Function and Scope of Responsibility:

The Billing Specialist effectively communicates the estimated financial responsibility of the member and obtains prior authorization for billing. To achieve this the Specialist is responsible for verifying the receipt of test order IDs checking the members insurance and benefits communicating the members financial responsibilities to the patient and/or sales team submitting prior authorization requests through payor websites fax or phone and procuring medical records or documentation as required by insurance prior authorization or appeals. They must also keep up to date with changes in insurance policies and pre-certification requirements and maintain current knowledge of payor websites and utilization. Reviewing claims in Xifin and resubmitting them to payors for Pre-authorization reviews is also part of their job. They are responsible for ensuring that pre-certification authorization and referrals are in place for all cases. Entering payor and responsible party information accurately into the accounting system is crucial. The Specialist must also possess exceptional task prioritization skills and the ability to review tasks efficiently and case of necessity the Specialist should cross-train in various duties within the Billing department. Research is also a crucial aspect of this role and the Specialist must follow up and know how to appeal prior authorization rejections/denials. This role also includes monitoring FAPs.

Qualifications :

• A minimum of 2 years experience in billing with knowledge of EOBs (Explanation of Benefits) deductibles and co-pays is required.
• A minimum of 3 years Xifin experience preferred.
• A minimum of 2 years client and operational experience in diagnostics is preferred.
• Excellent customer service skills with a focus on professionalism
• Ability to solve problems prioritize tasks and multitask effectively
• Goal-oriented mindset with excellent time management and organizational skills
• Strong interpersonal communication skills including the ability to interact efficiently with individuals at all levels in an organization
• Strong level of empathy & patience
• Excellent verbal and written communication skills
• Attention to detail accuracy and time management
• Proficiency in PC-based software such as Microsoft Excel Teams iPhone Adobe and associated applications
• A fundamental understanding of medical billing concepts
• Knowledge of Medicare Medicaid and commercial insurance
• Familiarity with HIPAA (Health Insurance Portability and Accountability) privacy requirements
• Knowledge of Availity and eligibility portals and medical terminology
• Follow up on missing or incorrect information so patients receive the right reimbursement.
• Document account activity using correct medical and billing codes.
• Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
• Be investigative to find necessary information if needed
• Ability to handle multiple priorities and meet deadlines
• Ability to work independently and as part of a team in a fast-paced environment
• Demonstration of self-motivation and ownership of assigned work
• A high level of professionalism and confidentiality in handling sensitive information is imperative. 
• Ability to self-start and work independently as well as respond to STAT requests in a timely manner

Additional Information :

To learn more about Eurofins Transplant Genomics please visit the following:  .

Schedule:

• Monday - Friday 8 am - 5 pm 

What we offer:

• Excellent full time benefits including comprehensive medical coverage dental and vision options
• Life and disability insurance
• 401(k) with company match
• Paid vacation and holidays

Eurofins USA Clinical Diagnostics is a Disabled and Veteran Equal Employment Opportunity employer.

Remote Work :

No

Employment Type :

Full-time