Ambry Genetics · 6 hours ago
Billing Support Representative I (9:00am-5:30pm PST/11:00am-7:30pm CT) - Remote, USA
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Responsibilities
Calls patient to review the estimated out of pocket costs based on each patients genetic testing benefits to allow the patient to make informed decisions of potential financial liabilities
Reviews outgoing statement to ensure that patient is receiving accurate correspondence regarding the owed amount and qualifies patients for any financial assistance based on each patients' unique situation as defined by the patient billing policy as needed
Place calls to clients or patients as requested to discuss out of pocket costs for genetic testing
Documents all relevant actions in the patients case notes regarding patient decision (i.e. continue testing, cancel test or bill hold)
Assigns proper work queue to initiate prior authorization or directs case to appropriate team to work
Meets established departmental standards for timely call follow up with patients within 48 hours of sample receipt
Responds to patients via phone, email, or text using patients preferred method of communication as indicated on the Test Requisition Form
Assists with incoming phone calls from patents and clients, providing one-call resolution for all billing-related issues
Reviews, researches, and resolves inbound inquiries and complaints through a tickets system
Other duties as assigned
Qualification
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Required
High school diploma or equivalent
Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes
Must have ability to adapt to a fast paced, dynamic environment
Must have good computer skills
Must understand the different payer plans and good understanding of A/R
Must have excellent communication skills and a positive, caring attitude over the phone when talking to patients
Must demonstrate customer service skills to work effectively with patients, referring providers, governmental agencies
Must have the ability to use independent judgment and show discretion in working with highly confidential HIPAA information
Must have basic math skills in order to calculate out of pocket amounts
Must have understanding of basic billing and claims processing
1+ years’ experience as a customer service agent or similar background
Preferred
2+ years’ experience in a clinical laboratory preferred, especially genetic testing
Benefits
Medical
Dental
Vision
401k with a 4% employer match
FSA
Paid sick leave
Generous paid time off (PTO) program
Company
Ambry Genetics
Ambry leads in clinical genetic diagnostics and genetics software solutions.
Funding
Current Stage
Late StageTotal Funding
unknown2024-11-06Acquired· undefined
2017-10-19Series Unknown· undefined
Recent News
Modern Healthcare
2024-11-06
2024-05-24
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