Receipts Posting Specialist

Personalis, Inc • Fremont, CA

13d • $30 - $38 • Hybrid

About The Position

The Receipts Posting Specialist holds a pivotal and critical position in supporting Personalis' overarching business objectives. This dynamic role is fundamentally responsible for increasing billing and collection efforts while ensuring the expedient processing of payments for the company's proprietary NeXT Personal DX test. The core function of this position is to optimize revenue cycle management by actively overseeing backend claim processes and driving accuracy in payment applications.
A primary responsibility of the Receipts Posting Specialist is executing a robust denial management program and appeals. This program includes investigating root causes of claim rejections, securing missing clinical records, and advocating for full reimbursement across the claim lifecycle. The Specialist is highly skilled in core cash posting functions, independently managing the posting, batching, and reconciliation of receipts, EFT, and ERA/835 while ensuring payer database integrity.
Additionally, this position plays a vital role in upholding Personalis' commitment to expanding patient access to quality healthcare. The Receipts Posting Specialist assists in managing the NeXT Access financial assistance program and provides clear, professional written and verbal support to guide patients through benefits inquiries.

Requirements

• Extensive knowledge of medical billing and revenue cycle management
• Firm grasp on client and third-party billing, payer structures, claims processing and reimbursement requirements
• Strong attention to detail and ability to reconcile daily payment transactions within the backdrop of CPT usage and ICD-10 coding
• Analytical skills to effectively problem solve
• Proven track record of resolving claim rejections, denials and working with insurance carriers, clearinghouses and payers to obtain information and potential reimbursement
• Ability to navigate across various computer applications and payer portals
• Excellent customer service skills
• Ability to communicate effectively to patients and payers in both written and verbal formats
• Ability to contribute to a team environment, including learning from others, vocalizing potential customer or systems issues during team meetings, and communicating ideas for continual business improvement
• A minimum of 5 years of experience in the medical billing or related field
• High school diploma or equivalent GED.
• Exceptional phone etiquette for communication with patients, physicians, and insurance representatives
• Able to multitask, prioritize, and manage time efficiently
• Self-motivated and self-directed; able to work without supervision
• Proficient spreadsheet skills that includes creating formulas & pivot tables and moderately complex tasks such as data sorting, filtering, and mathematical computation
• Ability to analyze problems and strategize for better solutions.

Nice To Haves

• BS/BA Degree in Business, Marketing, Accounting, Healthcare Administration, or a related field.
• Healthcare certifications.
• Solid understanding of ERA/835 (electronic remittance advice), PLB (provider-level balance), EFT (electronic funds transfer), and clearinghouse operations
• Experience with Google Suite
• Working knowledge of billing software (XIFIN)

Responsibilities

• Support revenue cycle operations for third-party claims and client billing
• Support the order entry process by ensuring all billing data is available for order entry
• Determine the coverage status of test orders by reviewing complex clinical criteria
• Assign the proper test codes based on payer and clinical criteria.
• Follow-up on claim errors and insurance denials while recognizing root causes of errors and denials
• Obtain medical records and other missing information and process appeals for denied claims
• Assist patients or insurance companies via phone and/or email
• Administering & supporting patient financial assistance for the NeXT Access program
• Collaborate with the Client Experience team, our commercial partners, and other business units
• Accurately process and post receipts, create payment batches, and reconcile transactions
• Independently identify and resolve payment posting errors
• Support activities related to integrating the billing system with LIMs and other IT systems

Benefits

• annual performance-based bonus (or a sales incentive plan)
• long-term incentive units (equity)
• medical
• dental
• vision
• 401(k) match
• ESPP
• tuition reimbursement
• sick/vacation time
• commuter benefits
• EV charging stations
• onsite gym
• wellness benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED