Revenue Cycle Associate II
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Job Description
Revenue Cycle Coverage and Claims Associate responsible for filing insurance claims and ensuring reimbursement details. Utilizing Epic and other software to support coverage verification and claims management.
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 and route orders for appropriate actions
- Support broader activities ensuring appropriate coverage by utilizing Epic, external portals, and other software
- Monitor WQ’s for claims needing additional research and actions taken to get on the path of resolution
- Follow up with payors on unpaid aging claims
- Complete position responsibilities within the appropriate time frame while adhering to quality standards
Requirements:
- High School Diploma or General Education Degree (GED)
- 1+ years in a revenue cycle role
- 3+ years of experience in medical billing, claims, and/or insurance processing
- Extensive and current working knowledge of government, managed care, and commercial insurances claim submission requirements, reimbursement guidelines, and denial reason codes
- Knowledge of medical terminology and/or health insurance terms
- Knowledge of EHR operating systems and work involving electronic records
- Proficient in computer systems and keyboarding skills
- Demonstrated strong attention to detail and focus on quality output
- 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
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