Revenue Cycle Associate II

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $41.2k - $61.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 • Independently determine initial or ongoing patient insurance eligibility verification, investigate, and correct accounts within Epic • Ability to interact with various insurances and third-party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations • Research missing or erroneous information on accounts using various portals and other resources; including outreach and identification of unknown payors • Review/edit claims and appeals prior to submitting to clearinghouse • Analyze, research, and resolve claim issues applying federal, state, and payor rules and procedures with a high degree of independence • Monitor WQ’s for claims that need additional research and actions taken to get on to path of resolution • Responsible for CRM support • Correct rejected claims from the claim’s scrubber, clearinghouse, or payor • Review explanations of payments, analyze, and complete appropriate steps for all denials by appropriately identifying claim resolution next steps; including appealing, writing off, or sending statements • Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations

🎯 Requirements

• High School Diploma or General Education Degree (GED) • 1+ years in a revenue cycle role • 3+ 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