Account Manager

2 weeks ago

Albany, United States Tesis Labs LLC Full time
Job DescriptionJob Description

Tesis Laboratory is seeking a billing professional. Remote work is available.

This position is responsible for all molecular genetic laboratory billing and revenue cycle management, thorough insurance benefit investigation of new referrals, a small assignment of collections with a variety of payers, authorization requests, and claim submission.

ESSENTIAL DUTIES:

  • Accurately interprets patient insurance, prescription, and other health-related documentation.
  • Conducts medical insurance verification and investigations for commercial and government payors.
  • Communicates with insurance companies, patients, providers, and prescribers to coordinate reimbursement and access solution.
  • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
  • Reviews all claims for compliance and completeness for claims submissions.
  • Researches available alternative funding options to reduce patient's financial burden
  • Always maintains a high degree of confidentiality due to access to sensitive information.
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department.
  • Works with customers and affiliates on reporting, best practice, and strategic planning to optimize growth within a compliant environment.
  • Reviews and designs KPI to ensure proper financial performance of assigned Laboratory clients.
  • Follows all Medicare, Medicaid, and HIPAA regulations and requirements.
  • Abides by all regulations, policies, procedures, and standards.

POSITION REQUIREMENTS & COMPETENCIES:

  1. High school diploma or equivalent is required; Undergraduate degree is preferred.
  2. Experience in Genetic Lab Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment is required.
  3. Computer proficiency -- MS Office and Web-enabled applications strongly preferred
  4. Customer service skills required.
  5. Understanding of the requirements of Medicaid, Medicare, and Insurance billing for genetic laboratories in all MAC’s is required.
  6. 5 years’ experience with Laboratory medical billing.
  7. 3 years minimum with Cancer Genomics billing.
  8. 1 year with R & D of molecular genetics panels.
  9. Certified Medical coder or biller with AHIMA or affiliated organization.
  10. Experience with managing clients and/or employees preferred.

 

 

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