Billing Coordinator III; Billing Specialist Subsidiary REMOTE

Employer Industry: Healthcare Services

• Salary up to $21.00 per hour
• Comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO), and Tuition Reimbursement
• Opportunity for career advancement and growth within the organization
• Flexible remote work environment
• Engaging and collaborative team atmosphere focused on innovative solutions

• Research payer rejections and denials related to genetic testing claims
• Generate a high volume of successful appeals to insurance carriers for payment
• Collaborate with various teams to develop best practices and resolve denial issues
• Review payer medical policies to identify causes of denials
• Maintain consistent follow-up with insurers on payer denials

• High School Diploma or equivalent required
• Minimum two years of experience in healthcare billing, insurance claims, or accessing payer portals
• Experience with Explanation of Benefits (EOBs) and denial codes from insurances
• Familiarity with Medicare/Medicaid/HMOs/PPOs/commercial insurances
• Revenue Cycle Management (RCM) experience preferred

• Knowledge or experience with Xifin and CRM applications (e.g., Salesforce)
• Strong organizational skills and attention to detail
• Ability to adapt to changing duties and problem-solve effectively
• Professional communication skills across various platforms
• Proven ability to manage time and tasks independently with minimal supervision

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.