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Form of workWho is HealthTrackRx?
HealthTrackRx is the nation's leading PCR-based infectious disease laboratory! By delivering next morning results to healthcare providers nationwide, HealthTrackRx is the premier option for patients and healthcare professionals and in an exciting phase of growth!
Job Summary:
The Territory Billing Analyst’s focus is to engage in various activities aimed at improving revenue per sample, such as working to minimize customer turnover, addressing Missing Billing Information issues, and proactively identifying and resolving non-payment trends. You will streamline billing-related communication as a subject matter expert contact, collaborating with the sales department regional counterparts, coordinating improvement initiatives across operational teams, ensuring compliant customer-facing messaging, and providing swift feedback and support to customers with billing-related queries.
Essential Responsibilities/Duties:
- Investigate, report, and mitigate issues causing low reimbursement within the assigned region or territory.
- Collaborate cross-functionally to research and identify non-payment or denial trends within the assigned region or territory.
- Collaborate cross-functionally to develop corrective action plans with RCM, Sales, and Clinical stakeholders, document action plan and timelines.
- Receive, investigate, and respond to billing inquiries from Area Directors and Sales Managers, coordinating follow-up investigations with the RCM team.
- Analyze external factors, including client behaviors, that impact billing and provide recommendations to minimize issues, offering training as needed.
- Make recommendations for process improvements to enhance billing processes and cash flow.
- Run reports to establish current state or trends in reimbursement.
- Participate in scheduled calls with clients to provide subject matter expertise if the issue originates from client behavior.
- Periodically review missing billing information for backlogs and collaborate with appropriate responsible parties to identify and prioritize top volume clients requiring information.
- Provides guidance on best practices to address missing billing requests and facilitates direct record retrieval.
- Assist with investigation of escalated billing concerns from patient or client inquiries received in customer service touchpoints.
- Demonstrate all general RCM competencies, including:
- Comprehensive understanding of processes, procedures, systems, and concepts.
- Problem resolution and identification of appropriate solutions.
- Routine monitoring and participation in daily departmental operations.
- Addressing customer concerns and timely follow-up.
- Serving as a resource to other team members.
- Demonstrating working knowledge of commercial and government reimbursement and access.
- Compliant communication with internal stakeholders and customer support program personnel.
- Conducting field-based customer support and education related to payer coverage and payment processes.
- Understanding HIPAA rules and regulations related to patient privacy.
- Professional presentation skills expertise.
- Display a high level of self-initiative towards job assignments.
- Follow all company policies and procedures as outlined in the Employee Handbook.
- Perform other duties as assigned.
Qualifications:
- Education:
- High school diploma or equivalent.
- Bachelor's degree preferred.
- Competencies:
- Excellent verbal and written communication skills.
- Strong problem-solving abilities, adaptability to change.
- Experience with RCM applications (Telcor and/or XIFIN preferred).
- Excellent PC skills including MS Office applications.
- Experienced with reporting and analytics (Excel pivot tables, formulas, charts), SQL and database experience preferred.
- Experience:
- 5+ years in a customer service role.
- 5+ years in an insurance billing role, preferably in laboratory billing.
