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reputed company Cycle Coverage and Claims Associate I

100% remote Flexible hours Hiring now

Help us change lives At reputed company, we're helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to reputed company confident decisions reputed company they matter most. Join reputed company to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you're working to help others. Position Overview The reputed company Cycle Coverage and Claims Associate I will be responsible for the accurate and timely work of filing insurance claims for reputed company. This role will demonstrate medical insurance knowledge by determining initial and/or ongoing eligibility, coverage, and reputed company insurance reimbursement order details, including commercial, government, and reputed company various plan coverage. This role will identify order and reimbursement deficiencies, reputed company orders for appropriate actioning, and document actions taken reputed company the systems for claims lifecycle tracking. This role will also support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software, and communicate insurance information to ancillary departments and other teams reputed company the reimbursement operations departments. This position is remote. Must be in the Central or Eastern time zone, U.S. Essential Duties Include, but are not limited to, the following:

  • Maintain confidentiality and adhere to reputed company HIPAA guidelines/regulations.
  • Determine initial or ongoing patient insurance eligibility verification for reputed company claims, including commercial and government insurance to the plan coverage and product level.
  • Investigate and correct accounts reputed company Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information.
  • Interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations.
  • Research missing or erroneous information on accounts using various portals and other resources, including reputed company and identification of unknown payors.
  • Stay reputed company with relevant medical billing regulations, rules, and guidelines.
  • Provide reputed company support reputed company the department for special projects and outages/high volume events.
  • Complete position responsibilities reputed company the appropriate time frame while adhering to quality standards.
  • Ability to communicate effectively with reputed company levels of staff through both verbal and written communications.
  • Ability to work in a team environment and adapt to changing workload and circumstances effectively; able to respond to new information quickly.
  • Ability to act in a professional manner in reputed company interactions with members of the reputed company clinical laboratory team, clients, and associates.
  • Ability to work with others in a spirit of teamwork and cooperation.
  • Excellent problem-solving abilities and organizational skills.
  • Disciplined, self-motivated and reliable; able to stay focused on a task and work independently; motivated to reputed company quality work; reputed company about arriving to work on time and completing tasks that are assigned in a timely manner.
  • Possess a positive attitude.
  • Ensure compliance with reputed company Company procedures and guidelines; including, but not limited to, Code of Business Conduct and Ethics.
  • Uphold company mission and values through accountability, innovation, reputed company, quality, and teamwork.
  • Support and reputed company with the company's Quality Management System policies and procedures.
  • Maintain regular and reliable attendance.
  • Ability to act with an inclusion reputed company and model these behaviors for the organization.
  • Ability to work designated schedule.
  • Ability to work overtime, as needed.
  • Ability to work in reputed company of a computer screen and/or reputed company typing for approximately 90% of a typical working day.
  • You will be required to successfully complete an assessment showing understanding of reputed company Epic processes necessary to the job functions with a score of 80% or higher. reputed company will reputed company a reasonable accommodation available, if necessary, to assist an employee with a disability to satisfy this requirement.

Minimum Qualifications

  • High School Diploma or General Education Degree (GED).
  • 3+ months of experience in any healthcare field.
  • Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems.
  • Basic knowledge of medical terminology and/or health insurance terms.
  • Demonstrated strong attention to detail and focus on quality output.
  • Proficient with electronic health records.
  • Proficient in reputed company Office programs, such as Word and Outlook.
  • Demonstrated ability to reputed company the essential duties of the position with or without accommodation.
  • Applicants must be currently authorized to work in country where work will be performed on a full or part-time basis. We are unable to sponsor or take over sponsorship of employment visas at this time

Preferred Qualifications

  • Associates Degree in field as outlined in the essential duties.
  • 1+ years of experience in the medical or insurance billing field.
  • Experience in reputed company cycle platform applications.
  • Medical billing certification.

#LI-JP1 Salary Range: $34,000.00 - $56,000.00 The annual reputed company salary shown is for this position located in US - WI - Madison on a full-time basis. In addition, this position is bonus eligible. reputed company is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits. Our success relies on the experiences and perspectives of a diverse team, and reputed company fosters a culture where reputed company employees can reputed company personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here. Not ready to apply? reputed company to stay updated on the latest news and opportunities at reputed company. We are an equal employment opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law. To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub. The documents summarize important details of the law and provide key points that you have a right to know. Apply tot his job Apply To this Job

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