GENETWORx

Full Time Temporary

At GENETWORx Laboratory, we improve the health and wellness of lives around the world through dedicated research, experienced scientists, 21-st century technology, and in-depth diagnostics. Healthcare is personal and as such, the future needs to be, too. By intersecting genetic testing with personalized medicine and pharmacogenomics, we’re positioning our patients and empowering physicians with more precise, individualized, effective results.
As a leader in precision COVID-19 testing, GENETWORx provides unparalleled support, results, and clarity during these uncertain times. GENETWORx has armed healthcare providers, employers and universities with rapid and accurate COVID-19 diagnostic and antibody testing which is essential for reopening businesses and communities.

Summary

The Accounts Receivable Specialist is responsible for extensive reviewing of explanations of benefits, denials, and open accounts receivable. This position interacts daily with team members and other departments in an effort to quickly resolve outstanding account balances while enhancing the customer experience and promoting corporate integrity and compliance.

Responsibilities

• Prioritizes daily work and accesses volumes to adjust workload and areas of focus as needed.
• Demonstrates world class customer service in accordance with the laboratory revenue cycle department service excellence standards when responding to patient or client verbal and written correspondence.
• Documents all responses and actions taken to reach claim or account resolution in the billing revenue cycle management system.
• Exhibits strong communication skills and positive attitude with internal (team members, other departments, and leadership) and external customers (patients, clients, insurance companies, vendors, and employers).
• Defuses volatile situations in a calm, objective, and tactful manner. Directs customer complaints to management for immediate response if unable to resolve.
• Maintains thorough knowledge of third-party eligibility and claim inquiry tools and applications, requirements, and regulatory guidelines.
• Audits all inquiries to confirm appropriateness of patient responsibility to ensure correct registration, coding, payment/adjustment posting, and insurance processing of claims.
• Meets all daily, monthly, and year end closing deadlines as they relate to the accounts receivable process.

Education & Experience

• High school diploma or equivalent is required; 2-4 years’ experience in medical billing preferred
• Thorough knowledge of insurance requirements, contract benefits, credit & collection procedures, financial assistance programs, familiarity of medical terminology
• Work requires interpersonal skills necessary for making patient and third-party payer contacts