ABOUT US:

Biodesix?is a leading diagnostic solutions company with a focus in lung disease. The Company develops diagnostic tests addressing important clinical questions by combining multi-omics through the power of artificial intelligence.?Biodesix?offers five Medicare-covered tests for patients with lung diseases. The blood based Nodify Lung?nodule risk assessment testing strategy, consisting of the Nodify XL2?and the Nodify CDT?tests, evaluates the risk of malignancy in pulmonary nodules, enabling physicians to better triage patients to the most appropriate course of action. The blood based IQLung strategy for lung cancer patients integrates the GeneStrat?targeted ddPCR test, the GeneStrat NGS test and the VeriStrat test to support treatment decisions across all stages of lung cancer with results in an average of two to three business days, expediting the time to treatment.?Biodesix?also leverages the proprietary and advanced Diagnostic Cortex?AI (Artificial Intelligence) platform, to collaborate with many of the world's leading biotechnology and pharmaceutical companies to solve complex diagnostic challenges in lung disease. For more information about Biodesix, please visit www.biodesix.com.

OBJECTIVE OF THE POSITION:

Billing Specialist I will be responsible for obtaining necessary patient information to submit on medical claims sent to insurance plans. They will make phone calls to insurance plans and facilities, accurately record information obtained in patient files, and submit claims and appeals to insurance on behalf of patients. Billing Specialist I will work closely with Client Services and Billing Team to ensure accurate information is recorded and billing concerns are addressed, gather patient information by requesting Medical Records from a variety of sources, interacting with physicians' offices and Client Services.

RESPONSIBILITIES:

Work as part of a dynamic and growing reimbursement team to prepare and send medical claims to insurance companies, follow-up on and manage through the billing cycle and payment resolution.

* Learn billing software and process flows

* Adhere to process flows and Standard Operating Procedures

* Make productive calls to insurance plans to obtain information and claim/appeal status

* Accurate recording of information in patient file

* Submission of claims and appeals to insurance companies when

* Communicate with and answer patient billing questions and concerns

* Work collaboratively with internal departments

* Other duties as assigned.

COMPETENCY OR POSITION REQUIREMENTS:

* Strong communication skills- both oral and written (over the phone and in-person)

* Computational and basic math skills

* Organized with strong attention to detail

* Ability to adapt to emerging situations and respond with a sense of urgency

* Handle confidential financial and personal information appropriately

* Communicate and coordinate with internal departments

EDUCATION AND EXPERIENCE:

* High School Diploma required

* Minimum 1 Year of Medical Billing Experience required, including knowledge of claims processing, denials, and appeals.

* 1-3 Years of Medical/Laboratory Experience preferred

* Undergraduate degree preferred

* Bilingual a plus

REGULATORY REQUIREMENTS:

This role shall comply, at a minimum, with the responsibilities outlined in:

* CLIA: Clinical Laboratory Improvement Amendments (CLIA) Requirements, Title 42 Code of Federal Regulations Part 493

* CAP: College of American Pathologists (CAP): All Common, General, Chemistry, Director Responsibility and Authority and Molecular Pathology checklists

* NYS CLEP: New York State Department of Health, Clinical Laboratory Evaluation Program (CLEP), New York State Public Health Law, Article 5 Title 5

* ISO: International Organization for Standardization (ISO) 13485, Quality Management Systems, Requirements for Regulatory Purposes, 2016

* All other applicable state and regulatory governing authorities including but not limited to: CA, PA, RI, MD

PHYSICAL REQUIREMENTS:

* The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job

* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

* While performing the duties of this job, the team member is regularly required to use hands to grip, handle, or feel objects, tools, or controls and talk or hear

* The team member frequently is required to sit, walk, and reach with hands and arms; occasionally is required to stand, stoop, kneel, crouch, or crawl, and must occasionally lift and/or move more than 25 pounds

* Specific vision abilities required by this job include visual acuity to Colorado driver's license requirements

WORK ENVIRONMENT:

* The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job

* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

* The primary work environment is an office setting

* The noise level in the work environment is usually moderate

UNPLANNED ACTIVITIES:

* Other duties as assigned

TRAVEL:

* Minimal

COMPENSATION:

* $19.57 - $21.73 per hour