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Quest Diagnostics

Billing Representative

Posted 14 days ago
$17.2 - $22 per hour
0-2 years experience
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AI Summary

The Billing Representative reconciles medical claims to collect revenue and manages patient, client, or third-party insurance bills. They are responsible for applying payments, interpreting Explanation of Benefits, and following up on denied or unresponded claims.

Billing Representative - Monday to Friday, 8:00 AM to 5:00 PM Pacific

Pay range: $17.20 - $23/ hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:
We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:
•    Day 1 Medical, supplemental health, dental & vision for FT 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
•    and so much more!

In an environment where the patient is at the center of everything that we do, the individuals in this position typically reconcile medical claims for the purpose of collecting revenue for the organization. They work with patient, client and/or third-party insurance bills, and may work on one or more of these processes on a daily basis.

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.

Qualifications

Requirements:

  • 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.  

 

Preferred Experience:

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

Skills:

  • 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.

 

Education

High School Diploma or Equivalent (Required)

Languages

English (Required)


Quest Diagnostics honors our service members and encourages veterans to apply.

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

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