Billing Reimbursement Specialist II

NeoGenomics Laboratories

2d•Remote

About The Position

NeoGenomics has an opening for a Billing Reimbursement Specialist II who wants to continue to learn in order to allow our company to grow. This position is a Monday – Friday business hours, Remote role to work day shift. 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.

Requirements

High School Diploma at minimum required.
2 years 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 Inter and Intranet and other programs/software as necessary.
Working knowledge and hands-on experience of medical billing and reimbursement.

Nice To Haves

Knowledge of reading and understanding of EOB’s.
Ability to understand and interpret advice/remark codes from payers.

Responsibilities

Reconciliation of medical claims for the purpose of collecting revenue for NeoGenomics.
Work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
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.
Appeals and denial management based on payer guidelines in a timely manner.
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.
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.