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Genomics Reimbursement Analyst
3 months ago
The Genomics Reimbursement Analyst is a member of the CooperGenomics billing team, responsible for billing and collection of clinic, patient, and insurance revenue in an accurate and timely manner while providing exceptional customer service. This individual is responsible for interpretation and proper billing of PGT and Genomic lab tests, maintenance of patient and client billing records, collection of payments for services, submission of “clean” insurance claims, follow-up and resolution of all outstanding balances, responding to customer service inquiries, and performing additional duties or assignments as directed by management.
About CooperSurgical
CooperSurgical is a leading fertility and women's healthcare company dedicated to putting time on the side of women, babies, and families at the healthcare moments that matter most in life. CooperSurgical is at the forefront of delivering innovative assisted reproductive technology and genomic solutions that enhance the work of ART professionals to the benefit of families. We currently offer over 600 clinically relevant medical devices to women's healthcare providers, including testing and treatment options.
CooperSurgical is a wholly-owned subsidiary of CooperCompanies (Nasdaq: COO). CooperSurgical, headquartered in Trumbull, CT, produces and markets a wide array of products and services for use by women's health care clinicians. More information can be found at .
Responsibilities
- Front-end Billing
- Accurately bill charges for completed PGT lab tests based on test requisition form and laboratory final report.
- Constant monitoring and updating of lab trackers to reconcile charges and ensure cases are billed as the lab completes them.
- Payment Posting
- Post payments, denials, and correspondence from all sources (ERA, lockbox, mail, credit card processing vendor, collection agency) in the billing system.
- Confirm and reconcile all payments to banking source on a daily basis.
- Accounts Receivables Analysis
- Follow-up on denials and no response insurance claims
- Daily monitoring and resolution of “EP Denial” errors in an accurate, efficient, compliant manner to ensure “clean claim” submission and reduce days in AR
- Research eligibility rejections including contacting of patient to determine current insurance coverage
- Communicate finding of payer trends to Manager
- Research refund requests from patients and insurance; prepare and document refunds for referral to AP.
- Collections for Client and Patient Billing
- Support the processes for past-due collections.
- Pre-collection “soft calls” to patients
- Compilation of accessions which have completed the dunning cycle for referral to outside collections.
- Customer Service
- Assist Client Services team with resolution of patient billing questions (ticketed via ZenDesk system).
- Qualified candidates must have:
- Ability to work in a fast-paced environment where critical thinking and attention to detail are key.
- Associate degree or equivalent relevant experience
- Healthcare revenue cycle operations experience
- Knowledge of medical billing conventions including (but not limited to) CPT, ICD-10, explanation of benefits, CMS-1500 form and client-style billing.
- Thorough comprehension of the differences between in-network insurance claims and out-of-network insurance claims
- Complex understanding of insurance payor requirements, guidelines, and appeals processes
- Extensive knowledge of patient out-of-pocket expenses including co-pays, deductibles and co-insurances.
- Excellent written and verbal communications skills including the ability to effectively communicate with managers, executives, peers in other departments, patients, IVF clinics and sales personnel
- Computer competencies to include solid grasp of MS Word and above-average skill with MS Excel.
- Reliability, good organization skills, and able to take direction.
- Must be able to maintain confidentiality of data including HIPAA, SOX and other similar regulations.
- Consistently meet deadlines in a fast-paced, changing, and high-tech environment.
- Ability to work collaboratively in a team and build relationships with counterparts in other departments.
- Passing of background check, which may include verification of prior employment, criminal conviction history, educational, and driving records.
- This job requires use and analysis of this type of information:
- Patient billing, financial status, insurance coverage.
- Corporate financial, marketing, or business strategies
- Work onsite with possibility of transition to hybrid remote/onsite schedule.
To all agencies: Please, no phone calls or emails to any employee of CooperSurgical about this opening. All resumes submitted by search firms/employment agencies to any employee at CooperSurgical via-email, the internet or in any form and/or method will be deemed the sole property of CooperSurgical, unless such search firms/employment agencies were engaged by CooperSurgical for this position and a valid agreement with CooperSurgical is in place. In the event a candidate who was submitted outside of the CooperSurgical agency engagement process is hired, no fee or payment of any kind will be paid.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
