Billing Representative II

Responsibilities

• Open and sort all incoming mail
• Communicate with team members and leadership effectively
• Print and mail out all third party and patient refund checks generated by team members along with documentation saved in the refund database
• Document all return mail information including bill numbers and post bad address denials to claims
• Process changes to bill from Client to insurance
• Pull and send invoices to clients when requested – may involve calling client offices to obtain information
• Work on E-invoice inactive or return mail by calling clients to find a correct address and updating that in QBS
• Process billing adjustments in QBS and WBS
• Must comply with departmental Business Rules and Standard Operating Procedures
• Interprets explanation of benefits for appropriate follow up action
• Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information
• 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
• Maintains performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance

Requirements

• High School Diploma/GED or equivalent work experience
• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, instant 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 approved high-speed internet connection or leverage an existing high-speed internet service

Qualifications

• Required Qualifications: High School Diploma/GED or equivalent work experience. Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, instant 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 approved high-speed internet connection or leverage an existing high-speed internet service

Skills

• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills
• 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
• Basic knowledge of Microsoft Products
• Good communication skills

Benefits

• 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

About the Team

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

Quest Diagnostics is an equal opportunity employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.