Revenue Cycle Associate I

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 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

• 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, route orders for appropriate actioning, and document actions taken • support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software • communicate insurance information to ancillary departments and other teams within the reimbursement operations departments • maintain confidentiality and adhere to all HIPAA guidelines/regulations • investigate and correct accounts within Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information • interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented • research missing or erroneous information on accounts using various portals and other resources • complete position responsibilities within the appropriate time frame while adhering to quality standards • demonstrate professional interaction with members of the Exact Sciences clinical laboratory team, clients, and associates

🎯 Requirements

• High School Diploma or General Education Degree (GED) • 3+ months of experience in any healthcare field • Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems • Basic knowledge of medical terminology and/or health insurance terms • Demonstrated strong attention to detail and focus on quality output • Proficient with electronic health records • Proficient in Microsoft Office programs, such as Word and Outlook • 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