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Role Description
This position is a temporary, remote role with a Monday - Friday day shift. In this position you will be responsible for reconciliation of medical claims for the purpose of collecting revenue for NeoGenomics.
• Focus efforts on increasing cash and reducing bad debt
• Understand 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
• Manage appeals and denials 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
Qualifications
• High School Diploma at minimum required
• 1 year 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 Internet and Intranet and other programs/software as necessary
• Working knowledge and hands-on experience of medical billing and reimbursement
Company Description
NeoGenomics is looking for a Billing Reimbursement Specialist I who wants to continue to learn in order to allow our company to grow. We believe in career development and empowering our employees.
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.