Patient Support Specialist

4 weeks ago

Louisville, United States Biodesix, Inc. Full time

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:

The Patient Support Specialist Medical Billing role is a billing system and billing process expert with a competent overview of the Biodesix tests, organization and billing policies / aligned processes. The (PSS) I is the initial point of contact within Biodesix for most stakeholders desiring additional information about their Biodesix tests, billing and financial aid programs and processes and is comfortable guiding stakeholders through expectation setting for their claims experience with Biodesix, from Test Order through billing. The Patient Support Specialist will be able to navigate all applicable Biodesix computer and phone / CRM systems and processes to provide timely and accurate responses to predominantly patient questions.


RESPONSIBILITIES:

  • Answer incoming stakeholder phone calls, e-mails and other customer contacts within Biodesix.
  • Diligently pursue accurate and timely first touch resolution to patient enquiries on billing. This can include collaborative review with Billing Specialists as subject matter experts.
  • Diligently and accurately answer non-clinical stakeholder questions on Biodesix testing.
  • Delegate incoming calls that require escalation to an appropriate team member, or team following QMS policies and procedures, where applicable
  • Timely and accurately communicate and execute on the Biodesix Financial Assistance program process
  • Work with those patients that are selected for FPP audit to collect the appropriate data, provide to audit reviewer and communicate results of audit to patient.
  • Work with patient interaction team to resolve patient interactions and escalated complaints, as applicable to the billing process
  • Refer actionable claims requests to the appropriate Billing team members on behalf of the customer.
  • Review and generate patient statements.
  • Guide payment processes and support payment acceptance directly.


REQUIREMENTS:

  • Superior understanding of the Biodesix medical billing process, billing systems and US medical insurance, including how to access, interpret and review eligibility, Benefits, EOBs and claims status detail
  • Working understanding of Microsoft Excel and associated MS Office programs
  • Calm and compassionate phone demeanor, able to diffuse situations and escalate appropriately
  • Detail oriented
  • Attention and adherence to good documentation practices (GDP) in all aspects of the role
  • Ability to multi-task and balance competing demands in a hectic environment and call volume time periods
  • Acts with urgency to meet department SLAs and delivers excellent customer experience


EDUCATION AND EXPERIENCE:

  • 2-5 years operational experience in medical billing and systems.
  • 2-5 years phone based customer service experience, preferred.
  • Experience with Quadax billing software and/or Sales Force software, a plus.
  • Spanish language fluency, required.


JOB LOCATION

Louisville, CO - On-Site


COMPENSATION:

We are excited to provide:

  • Hourly rate starting at $23.03
  • Discretionary Bonus opportunity
  • Comprehensive health coverage: Medical, Dental, and Vision
  • Insurance: Short/Long Term Disability and Life Insurance
  • Financial benefits: 401(k), Flex Spending Account
  • 120 hours of annual vacation
  • 72 hours of paid sick time off
  • 11 paid holidays + 3 floating holidays
  • Employee Assistance Program
  • Voluntary Benefits
  • Employee recognition program


Individual base compensation is based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.


Biodesix is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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