Revenue Cycle Associate I

Posted 2ds ago

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Job Description

Revenue Cycle Coverage and Claims Associate filing insurance claims for Exact Sciences. Ensure eligibility verification and proper documentation in a team-oriented environment.

Responsibilities:

  • responsible for the accurate and timely work of filing insurance claims for Exact Sciences
  • demonstrate medical insurance knowledge by determining initial and/or ongoing eligibility, coverage, and related insurance reimbursement order details
  • identify order and reimbursement deficiencies, route orders for appropriate actioning, and document actions taken within the systems for claims lifecycle tracking
  • support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software
  • communicate insurance information to ancillary departments and other teams within the reimbursement operations departments

Requirements:

  • High School Diploma or General Education Degree (GED)
  • 3+ months of experience in any healthcare field
  • Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems
  • Basic knowledge of medical terminology and/or health insurance terms
  • Demonstrated strong attention to detail and focus on quality output
  • Proficient with electronic health records
  • Proficient in Microsoft Office programs, such as Word and Outlook
  • Demonstrated ability to perform the essential duties of the position with or without accommodation
  • Authorization to work in the United States without sponsorship

Benefits:

  • paid time off (including days for vacation, holidays, volunteering, and personal time)
  • paid leave for parents and caregivers
  • retirement savings plan
  • wellness support
  • health benefits including medical, prescription drug, dental, and vision coverage