Billing Representative

Summary

Quest Diagnostics is a healthcare diagnostics organization focused on patient-centered services. The Billing Representative reconciles medical claims and manages patient, client, and third-party insurance billing processes to collect revenue, resolve billing issues, and reduce bad debt. The role also involves applying payments and denials, following up on claims, processing adjustments and refunds, and maintaining compliance and quality standards.

Responsibilities

• Focused efforts on increasing cash and reducing bad debt
• Apply payments and denials to third party carriers in all media types
• Interpret Explanation of Benefits for appropriate follow-up action
• Complete refunds/adjustments to customer's accounts, while providing necessary back-up information in order to maintain accuracy
• Contact third party carriers to follow up on denied and unresponded claims
• Analyze and apply denials, process and review claims
• Perform screen scrapes
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
• Handle patient indigency and bankruptcy claims
• Make have contact with insurance carriers, clients, patients and/or other outside sources
• Regular research involving both the web and billing systems
• May be a certified Medical Coder and/or involved with medical coding
• Maintain Compliance and HIPAA standards at all times Meet or exceed daily production standards Meet or exceed daily quality standards
• Ability to work on various other projects as needed
• Ability to work overtime as needed based on departmental needs

Skills

• At least one year of relevant experience and/completion of medical administration course
• Medical terminology knowledge
• Must be able to key 55 WPM with 95% accuracy
• Meet established production and quality standards
• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications and basic IT troubleshooting
• Ability to work well with a fast-paced team and environment
• Ability to adapt to changes
• Ability to have excellent communication skills, both verbal and written
• Ability to multi-task
• PC Skills, with specific proficiency in Excel and data entry
• Basic math skills
• Good organizational skills
• Ability to work independently and as part of a team
• High School Diploma or Equivalent (Required)
• English (Required)
• 1-3 years of experience in A/R, Billing, Customer Service, insurance, or healthcare preferred
• Understands multiple billing requirements across varies payers and states

Qualifications

Must Haves

• At least one year of relevant experience and/completion of medical administration course
• Medical terminology knowledge
• Must be able to key 55 WPM with 95% accuracy
• Meet established production and quality standards
• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications and basic IT troubleshooting
• Ability to work well with a fast-paced team and environment
• Ability to adapt to changes
• Ability to have excellent communication skills, both verbal and written
• Ability to multi-task
• PC Skills, with specific proficiency in Excel and data entry
• Basic math skills
• Good organizational skills
• Ability to work independently and as part of a team
• High School Diploma or Equivalent (Required)
• English (Required)

Nice to Haves

• 1-3 years of experience in A/R, Billing, Customer Service, insurance, or healthcare preferred
• Understands multiple billing requirements across varies payers and states

Benefits

• Remote daily work arrangement
• Annual performance bonus compensation may be available
• Day 1 medical, supplemental health, dental and vision coverage for full-time employees who work 30+ hours
• Best-in-class well-being programs
• Annual, no-cost health assessment program Blueprint for Wellness®
• HealthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 holidays plus 1 "MyDay" off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
• Employee stock purchase plan
• Life and disability insurance, plus buy-up option
• Flexible Spending Accounts
• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities