Genomics Reimbursement Analyst

We are searching for a Genomics Reimbursement Analyst for our top medical device client located in Trumbull, CT. The Genomics Reimbursement Analyst is a member of the genomics billing team, responsible for billing and collection of clinic, patient, and insurance revenue in an accurate and timely manner while providing exceptional customer service.

Location: Trumbull, CT

Shift: Monday-Friday 8 AM– 5 PM

Pay: $22-$24 per hour

Type: 6-month contract-to-hire

Job Functions

• Front-end Billing
• Accurately bill charges for completed PGT lab tests based on test requisition form and laboratory final report.
• Constant monitoring and updating of lab trackers to reconcile charges and ensure cases are billed as the lab completes them.
• Payment Posting
• Post payments, denials, and correspondence from all sources (ERA, lockbox, mail, credit card processing vendor, collection agency) in the billing system.
• Confirm and reconcile all payments to banking source on a daily basis.
• 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.
• Collections for Client and Patient Billing
• Support the processes for past-due collections.
• Pre-collection “soft calls” to patients
• Compilation of accessions which have completed the dunning cycle for referral to outside collections.
• Customer Service
• Assist Client Services team with resolution of patient billing questions (ticketed via ZenDesk system).

Qualifications

• Ability to work in a fast-paced environment where critical thinking and attention to detail are key.
• Associate degree or equivalent 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.
• 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.
• Ability to work collaboratively in a team and build relationships with counterparts in other departments.
• Passing of background check, which may include verification of prior employment, criminal conviction history, educational, and driving records.
• This job requires use and analysis of this type of information:
• Patient billing, financial status, insurance coverage.
• Corporate financial, marketing, or business strategies
• Must be able to work between 6:00 am and 8:00 pm PST, Monday – Sunday
• May be required to work weekends and holidays
• Contact Center Environment; temporarily work from home due to COVID-19
• Must have high speed internet
• Work onsite with possibility of transition to hybrid remote/onsite schedule.

INDNE1

Job Types: Full-time, Contract

Pay: $22.00 - $24.00 per hour

Benefits:

• Dental insurance
• Health insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Trumbull, CT: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

Salary : $22 - $24