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Account Manager - Molecular Genetics - Billing/Revenue Cycle Mgt

5+ years
$65,000 to $85,000 per year
10 Nov. 23, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Tesis Laboratory is looking for a Billing Professional to handle all aspects of molecular genetic laboratory billing and revenue cycle management. This is a remote position, and key responsibilities include interpreting insurance information, conducting insurance verifications, handling collections with various payers, submitting claims, and ensuring compliance with Medicare, Medicaid, and HIPAA regulations.

Essential Duties:

  • Accurately interprets insurance, prescription, and health-related documents.
  • Verifies insurance and conducts investigations for both commercial and government payors.
  • Communicates with insurance companies, patients, providers, and prescribers to resolve reimbursement issues.
  • Reviews unpaid accounts, takes necessary actions for payment, and ensures claims are submitted correctly.
  • Researches alternative funding options to reduce patient financial burdens.
  • Maintains confidentiality of sensitive information.
  • Ensures compliance with all regulations, policies, and standards related to billing.
  • Works on reporting, best practices, and strategic planning to optimize financial performance.

Position Requirements & Competencies:

  • High school diploma or equivalent required; an undergraduate degree is preferred.
  • Experience in Genetic Lab Billing, Accounts Receivables, and/or Collections in a healthcare or insurance setting.
  • Strong proficiency with MS Office and web-enabled applications.
  • Knowledge of Medicaid, Medicare, and insurance billing for genetic labs in all MACs.
  • 5 years of experience in Laboratory medical billing and 3 years in Cancer Genomics billing.
  • 1 year of experience in R&D of molecular genetics panels.
  • Certified Medical Coder or Biller with AHIMA or a similar organization.
  • Experience managing clients or employees is preferred.

This role is ideal for someone with substantial billing experience in genetics or laboratory settings, as well as proficiency in navigating complex healthcare billing systems.