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Billing Manager

Position Summary:

We are looking for an experienced Billing Manager to lead our billing department. The ideal candidate would have a strong background in billing Hereditary Cancer Screening, Prenatal Carrier Screening, and Non-Invasive Prenatal Testing (NIPT).

 

Responsibilities:

  • Oversee the improvement and expansion of compliant coding in genetic testing
  • Tasked to increase collection efficiency
  • Handle electronic and manual claims posting from various remittance platforms
  • Follow up on claims and maintaining accurate data tracking across multiple spreadsheets
  • Interact with patients to procure necessary documents and filing appeals
  • Submitting medical records and appeals as necessary to ensure completion of claims processing
  • Generating patient responsibility invoices

Job requirements and qualifications:

  • BA/BS from an accredited program
  • Strong background in genetic testing (hereditary cancer and women’s health) coding experience mandatory
  • 5+ years experience working as a medical biller
  • Strong verbal and written communication skills
  • Proficiency in Microsoft Excel, Word, and Outlook
  • Basic retail-level mathematical skills
  • Mastery of medical coding according to NCCI standards
  • Experience posting payments, both manual and electronic
  • Strong background in claims appeals and grievances
  • Experience with prior and retroactive authorizations
  • Experienced in pre- and post-claim follow-up
  • Ability to work independently and as part of a team, self-motivation, adaptability, and a positive attitude are essential

Benefits:

  • Competitive starting base salary based on years of experience
  • Uncapped salary growth aligned with execution of established goals
  • 401K Plan & Match and profit sharing plan
  • Medical / Dental / Vision health coverage