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SalaryABOUT PRECISION DIAGNOSTICS:
Precision Diagnostics, based in San Diego, California is a fast-growing clinical laboratory that specializes in providing quantitative drug testing, primarily for the purpose of helping physicians monitor their patients undergoing treatment for pain or substance abuse. Precisions objective is to improve patient adherence/compliance with their prescription regimen and protect medical practices from liability.
The Accounts Receivable Collector 2 is responsible for a variety of billing and follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status, payer policies, initiate appeals, and collections for account resolution.
THE ROLE:
Meets weekly and monthly productivity and quality standards.
Supports continuous improvement of organization processes and personal knowledge and skills.
Protects the organizations value by keeping information confidential and follows procedures compliantly.
Ensures timeliness, quality, and efficiency in all work to comply with mandated, legislative, and Federal requirements
Ensure all data has been entered with accuracy as needed to meet productivity and quality requirements
Handles outbound and inbound calls
Always respectful and professional so as not to deter guarantors or patients from seeking future laboratory services with Precision.
Provides excellent customer service through cooperative working relationships.
Clearly and concisely explains components of healthcare processes and terminology to clients and patients of all backgrounds.
Communicate with patients to request payment and arrange payment plans.
Audit and communicate patient accounts to ensure patient has a clear understanding of the information provided on their patient statement.
Submits claims if needed once patient provides new Insurance information.
Communicate with remote field teams and client services regarding patient accounts to ensure correct billing procedures are taking place.
Contact clients or use appropriate software as needed to ensure patient information is up to date.
Ensures that patient demographics, insurance information, verification and eligibility have been established and documented.
Utilize POWER Bl reports.
Create reports as needed.
Analysis and review of billing error and clearinghouse denial errors data to identify root causes and work with management to implement upfront system edits as applicable.
Identifies problem accounts and investigates and corrects errors in a timely manner.
Audit payer policies quarterly to ensure that we are following the correct procedures and guidelines.
Communicate to management when there are changes in payor denial trends and payor policies.
Audit assigned payers to ensure contractual agreements are being met.
Follow up on claims with No Activity in a timely manner.
Communicate with insurance payers to discuss reason for denials and ensure payment of account.
Appeal and follow up on necessary denials in a timely manner based on timely filing of the payer.
Create appeal letters that are specific to the insurance payer procedures and guidelines to effectively communicate the reason for appeal.
Other duties as assigned.
WHAT YOU BRING TO THE TABLE:
Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
Knowledge of Medical Terminology and Medicare Compliance.
Familiarity with HIPAA privacy requirements for patient information.
Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
Ability to multitask and stay organized.
Good verbal and written communication skills.
Detail oriented and ability to prioritize work.
Requires a moderate level of interpersonal, problem solving, and analytic skills.
Knowledgeable on insurance and reimbursement process.
Ability to establish and maintain cooperative working relationships with other departments, providers and clients.
Preferred two years of patient accounts experience in a healthcare setting.
Laboratory experience preferred.
To be successful, you agree that technology is a key part of every business process, and you will make new technology adoption part of your routine
Become fluent in Microsoft 365 (formerly Office635) applications assigned to your role. Common applications include Teams, Word, Excel, Tasks and Planner
Complete training in a timely manner that is assigned to you. Training is primarily conducted via Microsoft Learn modules and is assigned based on:
Position/Job Role Most positions require a core set of Microsoft 365 working knowledge
Project Role As member of a project team, you may be required to complete training before you can engage with the project team or commence project work
Ad-Hoc Based on review of your performance via support requests, training modules will be assigned to increase skills
ADDITIONAL JOB CONSIDERATIONS:
This position is Full-Time and fully remote
Salary is $24.00 to $29.00 per hour
Flexible start times between 5:00am and 8:30am
Must be able to sit at a desk for prolonged periods and working on a computer.
Comprehensive benefits package: Medical, Dental, Vision, and additional optional coverages
401K with company match
Paid time off, Sick pay, and paid Holidays
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
