Billing Coordinator II

Responsibilities

• Analyzes and applies denials to third party carriers in all media types.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
• Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
• Reviews and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
• Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Mets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.

Qualifications

• High School Diploma/GED or equivalent work experience.
• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, teams message, video conferencing.
• Strong keyboard and navigation skills and ability to learn new computer programs.
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a Quest Diagnostics approved high-speed internet connection or leverage an existing high-speed internet service.

Preferred Qualifications

• 1+ years’ experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.
• Some College level classes/coursework.
• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem solving skills.
• Medical terminology acumen and experience.

Skills

• Ability to resolve calls, avoiding escalated complaints.
• Ability to exhibit empathy and be courteous to callers.
• Ability to triage and handle escalated situations.
• Ability to work in a fast-paced environment.
• Ability to adapt to changes.
• Ability to develop and maintain client relationships.

Pay and Benefits

Pay range: 17.20+/hr
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!