** Billing Support Specialist I**

**Job Category****:** Client Solutions **Requisition Number****:** BILLI003031 Showing 1 location **Job Details**

**Description**

**Job Overview:**

The Billing Support Representative role is to be the primary contact for billing questions for patients, clients and payors. In this role the Billing Support Representative will receive calls from patients regarding the estimated out of pocket cost based on what was verified for each patients unique health plan benefits, as well as offers financial assistance options for patients as needed. Additionally, the Billing Support Representative provides client and patient support for billing-related issues, including but not limited to providing billing status, quoting pricing, collecting payments and reviewing patient correspondence.

***Location: REMOTE but hours are 9am-530pm PST***

**Duties and Responsibilities:**

* Calls patient to review the estimated out of pocket costs based on each patients genetic testing benefits to allow the patient to make informed decisions of potential financial liabilities

* Reviews outgoing statement to ensure that patient is receiving accurate correspondence regarding the owed amount and qualifies patients for any financial assistance based on each patients' unique situation as defined by the patient billing policy as needed

* Place calls to clients or patients as requested to discuss out of pocket costs for genetic testing

* Documents all relevant actions in the patients case notes regarding patient decision (i.e. continue testing, cancel test or bill hold)

* Assigns proper work queue to initiate prior authorization or directs case to appropriate team to work

* Meets established departmental standards for timely call follow up with patients within 48 hours of sample receipt

* Responds to patients via phone, email, or text using patients preferred method of communication as indicated on the Test Requisition Form

* Assists with incoming phone calls from patents and clients, providing one-call resolution for all billing-related issues

* Reviews, researches, and resolves inbound inquiries and complaints through a tickets system

* Other projects as assigned

**Education and Knowledge:**

* High school diploma or equivalent; some college a plus

* Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes

* Must have ability to adapt to a fast paced, dynamic environment

**Technical** **Competencies****:**

* Must have good computer skills

* Must understand the different payer plans and good understanding of A/R

* Must have excellent communication skills and a positive, caring attitude over the phone when talking to patients

* Must demonstrate customer service skills to work effectively with patients, referring providers, governmental agencies

* Must have the ability to use independent judgment and show discretion in working with highly confidential HIPAA information

* Must have basic math skills in order to calculate out of pocket amounts

* Must have understanding of basic billing and claims processing

**Experience:**

* 1-2 years experience in a clinical laboratory preferred, especially genetic testing

* 1-2 years experience as a customer service agent or similar background

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation as industry leaders by responsibly introducing cutting-edge genetic testing solutions and continually sharing what we learn with the global scientific community.

At Ambry you will be learning, challenging yourself, and having fun while collaborating with teammates through the open exchange of ideas. We also offer access to gym memberships, onsite food trucks, Lunch and Learns, and more. Our outstanding benefits program includes medical, dental, vision, 401k, FSA, and generous paid time off (PTO) program. Ambry Genetics is an Equal Opportunity Employer (EOE) and we maintain a drug-free work environment.

Ambry Genetics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race (and traits historically associated with race, including, but not limited to hair texture and protective hairstyles such as braids, locks, and twists), color, creed, religion, sex, sexual orientation, gender identity, gender expression (including transgender status), national origin, ancestry, age, marital status or protected veteran status and will not be discriminated against on the basis of disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

*Ambry does not accept unsolicited resumes from individual recruiters, third party recruiting agencies, outside recruiters or firms without an executed contract in place. We are not responsible for any fees related to resumes that are unsolicited or are received by Ambry. Such resumes will be deemed the sole property of Ambry and will be processed accordingly.*

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