Revenue Cycle Associate - Collections

1 hour, 58 minutes ago
Full-time
Senior
Finance and Accounting
BillionToOne

BillionToOne

BillionToOne is a precision diagnostics company revolutionizing disease detection with single base pair accuracy, making molecular diagnostics accessible and efficient for all.

Pharmaceuticals
251-1K
Founded 2016
$296M raised

Description

  • Review accounts for billing accuracy, patient eligibility, and correct insurance submission to optimize reimbursement.
  • Follow up on claim status with payers and pursue appeals, rebills, resubmissions, or adjudication as needed.
  • Process, track, and evaluate appeals from submission through outcome reporting.
  • Review correspondence, remittance advice, and EOBs to validate payer requests and identify payment discrepancies.
  • Investigate denied services, determine root causes, and report denial trends to reduce future issues.
  • Use billing systems, tools, and reports to support cash collection activities and monitor aging and denial reports.
  • Maintain compliance with Federal and State billing regulations as well as HIPAA, OSHA, quality, and administrative policies.
  • Support department cash collection and DSO goals.
  • Update patient demographics and other account information for accuracy.

Requirements

  • 4+ years of medical collections experience at a diagnostics company, laboratory, or other healthcare provider, with commercial payer collections experience.
  • Hands-on experience managing the full appeals process.
  • Strong knowledge of medical benefit levels and payer plan structures, including PPO, HMO, and indemnity plans.
  • Working knowledge of CPT, ICD-10, HCPCS, LCD/NCD coverage, and related reimbursement rules.
  • High school diploma or bachelor's degree from a four-year college or university.
  • Strong problem-solving skills with attention to detail, good judgment, and follow-through.
  • Excellent customer service, verbal, and written communication skills.
  • Strong troubleshooting, time management, prioritization, and multitasking skills in a fast-paced environment.
  • Ability to work independently, adapt to changing business demands, and meet tight timelines.
  • Ability to resolve complex billing issues and build effective working relationships.

Benefits

  • Total compensation package of $65,141 per year, including a base pay rate of $28.47 per hour.
  • Generous equity options offering.
  • Multiple medical benefit options, with employee premiums paid 100% for select plans and dependents covered up to 80%.
  • 16 weeks of paid family bonding leave for new parents.
  • Supplemental fertility benefits coverage.
  • Retirement savings program with a 4% company match.
  • Increased paid time off with tenure.
  • Remote work arrangement.
  • Latest hardware and equipment provided.

Interested in this position?

Apply directly on the company website

Apply Now

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