Patient Financial Services Associate II

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $41.2k - $61.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

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Exact Sciences

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1995

⚕️ Healthcare Insurance

🧬 Biotechnology

🔬 Science

Healthcare Insurance • Biotechnology • Science

Exact Sciences is a global leader dedicated to the fight against cancer. Headquartered in Madison, Wisconsin, Exact Sciences focuses on developing and marketing advanced cancer screening and diagnostic tests that help prevent cancer, detect it earlier, and guide treatment. The company is deeply committed to its mission of eradicating cancer and the suffering it causes, driven by values of innovation, integrity, teamwork, accountability, and quality. It fosters an inclusive culture and offers diverse teams opportunities to make a meaningful impact in the lives of individuals worldwide by advancing cancer detection technologies.

📋 Description

• Independently determine initial or ongoing patient insurance eligibility verification • Investigate, and correct accounts within Epic • Review/edit claims and appeals prior to submitting to clearinghouse • Analyze, research, and resolve claim issues applying federal, state, and payor rules and procedures • Correct rejected claims from the claim’s scrubber, clearinghouse, or payor • Investigate payor underpayments • Follow up with payors via phone on unpaid aging claims • Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations

🎯 Requirements

• High School Diploma or General Education Degree (GED) • 2 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 • 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