Revenue Cycle Associate – Collections

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BillionToOne

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Biotechnology • Healthcare Insurance • Science

BillionToOne is a leading molecular diagnostics company dedicated to advancing disease detection at the molecular level. Their proprietary technology, known as Quantitative Counting Templates (QCTs™), empowers the detection and measurement of tiny DNA fragments at a single base-pair resolution. This technology is a breakthrough in prenatal screening and oncology, enabling accurate risk assessment for fetal genetic conditions and monitoring cancer therapy effectiveness. BillionToOne’s UNITY Screen™ assesses fetal risks using maternal blood samples, making prenatal testing more efficient. The company is committed to enhancing healthcare by making molecular testing more accurate and accessible, evidenced by its recognition as the Diagnostics Company of the Year and significant funding achievements.

201 - 500 employees

Founded 2015

🧬 Biotechnology

⚕️ Healthcare Insurance

🔬 Science

💰 $35M Debt Financing on 2022-12

📋 Description

• Verify claim was submitted to correct insurance. • Review/update patient demographics and information for accuracy. • Process and validate payor requests and claims via correspondence, remittance advice and EOBs (i.e., identify payment discrepancies, inappropriate requests) • Investigate all denied services to determine reason and appeal, if appropriate. Identify and report root causes associated with denials to reduce/resolve issues. • Process assigned appeals including submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes) • Maximize utilization of Billing system, tools and resources to support cash collection activities • Review various reports including aging outstanding and denial reports. • Comply with Federal and State legislation on all billing related matters. • Comply with all Safety, Emergency, Hazard, OSHA, HIPAA, Quality Assurance and Administrative Plans, Policies, Guidelines, Protocol, and Standards. • Support and maintain department cash and DSO goals.

🎯 Requirements

• Minimum of 4+ years specializing in Medical Collections at a diagnostics company, laboratory or other healthcare provider, doing collections from commercial payers. • Hands-on experience handling the entire appeals process • Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, & PPO, HMO, and Indemnity Plans structures. • Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes. • High School Diploma or a Bachelor’s degree from a four-year college or university • Strong problem solving skills with ability to streamline and improve processes, use good judgment, attention to detail and follow-through are a must. • Excellent customer service skills; excellent verbal and written communication skills • Excellent troubleshooting and time management skills, attention to detail, utilizes time in constructive manner • Ability to easily adapt to increased business demands • Ability to effectively work with and resolve complex accounts & billing issues • Self-starter, ability to work independently and be self-motivated to overachieve goals. • Ability to effectively prioritize and multi-task • Ability to work in fast paced environment, perform under pressure, meet tight timelines • Establish and maintain cohesive and good working relationships

🏖️ Benefits

• Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients • Open, transparent culture that includes weekly Town Hall meetings • The ability to indirectly or directly change the lives of hundreds of thousands patients • Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80% • Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%) • Supplemental fertility benefits coverage • Retirement savings program including a 4% Company match • Increase paid time off with increased tenure • Latest and greatest hardware (laptop, lab equipment, facilities)