Revenue Cycle Billing Specialist

Eurofins • Lenexa, KS

94d

About The Position

Eurofins Transplant Genomics Inc. (“ETG”) is a molecular diagnostics company committed to improving organ transplant outcomes with non-invasive serial monitoring guided by biomarkers. ETG's product portfolio of both individual and combined whole blood gene expression and donor derived cell-free DNA testing is capable of reliably ruling out subclinical kidney rejection and acute rejection in kidney transplant patients. In addition to kidney transplantation testing, our newest product for liver transplant patients is a blood-based biomarker assay designed to rule out rejection as immunosuppression therapy is optimized.

Requirements

• A minimum of 2 years' experience in billing with knowledge of EOBs (Explanation of Benefits), deductibles, and co-pays.
• A minimum of 3 years Xifin experience preferred.
• A minimum of 2 years' client and operational experience in diagnostics preferred.
• Excellent customer service skills, with a focus on professionalism.
• Ability to solve problems, prioritize tasks, and multitask effectively.
• Goal-oriented mindset with excellent time management and organizational skills.
• Strong interpersonal communication skills, including the ability to interact efficiently with individuals at all levels in an organization.
• Strong level of empathy & patience.
• Excellent verbal and written communication skills.
• Attention to detail, accuracy, and time management.
• Proficiency in PC-based software such as Microsoft Excel, Teams, iPhone, Adobe, and associated applications.
• A fundamental understanding of medical billing concepts.
• Knowledge of Medicare, Medicaid, and commercial insurance.
• Familiarity with HIPAA (Health Insurance Portability and Accountability) privacy requirements.
• Knowledge of Availity and eligibility portals and medical terminology.
• Ability to handle multiple priorities and meet deadlines.
• Ability to work independently and as part of a team in a fast-paced environment.
• Demonstration of self-motivation and ownership of assigned work.
• A high level of professionalism and confidentiality in handling sensitive information.

Responsibilities

• Effectively communicate the estimated financial responsibility of the member and obtain prior authorization for billing.
• Verify the receipt of test order IDs and check the member's insurance and benefits.
• Communicate the member's financial responsibilities to the patient and/or sales team.
• Submit prior authorization requests through payor websites, fax or phone.
• Procure medical records or documentation as required by insurance prior authorization or appeals.
• Keep up to date with changes in insurance policies and pre-certification requirements.
• Maintain current knowledge of payor websites and utilization.
• Review claims in Xifin and resubmit them to payors for Pre-authorization reviews.
• Ensure that pre-certification, authorization, and referrals are in place for all cases.
• Enter payor and responsible party information accurately into the accounting system.
• Cross-train in various duties within the Billing department as necessary.
• Follow up and know how to appeal prior authorization rejections/denials.
• Monitor FAP's.

Benefits

• Excellent full time benefits including comprehensive medical coverage, dental, and vision options.
• Life and disability insurance.
• 401(k) with company match.
• Paid vacation and holidays.

What This Job Offers

• Job Type: Full-time
• Industry: Professional, Scientific, and Technical Services