Account Manager - Molecular Genetics - Billing/Revenue Cycle Mgt
hace 4 días
Albany
Job Description Tesis Laboratory is seeking a billing professional. Remote work is available. This position is responsible for all molecular genetic laboratory billing and revenue cycle management, thorough insurance benefit investigation of new referrals, a small assignment of collections with a variety of payers, authorization requests, and claim submission. ESSENTIAL DUTIES: • Accurately interprets patient insurance, prescription, and other health-related documentation., • Conducts medical insurance verification and investigations for commercial and government payors., • Communicates with insurance companies, patients, providers, and prescribers to coordinate reimbursement and access solution., • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment., • Reviews all claims for compliance and completeness for claims submissions., • Researches available alternative funding options to reduce patient's financial burden, • Always maintains a high degree of confidentiality due to access to sensitive information., • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department., • Works with customers and affiliates on reporting, best practice, and strategic planning to optimize growth within a compliant environment., • Reviews and designs KPI to ensure proper financial performance of assigned Laboratory clients., • Follows all Medicare, Medicaid, and HIPAA regulations and requirements., • High school diploma or equivalent is required; Undergraduate degree is preferred., • Experience in Genetic Lab Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment is required., • Computer proficiency -- MS Office and Web-enabled applications strongly preferred, • Customer service skills required., • Understanding of the requirements of Medicaid, Medicare, and Insurance billing for genetic laboratories in all MAC’s is required., • 5 years’ experience with Laboratory medical billing., • 3 years minimum with Cancer Genomics billing., • 1 year with R & D of molecular genetics panels., • Certified Medical coder or biller with AHIMA or affiliated organization., • Experience with managing clients and/or employees preferred.