Billing Representative II - Monday to Friday, 8:00 AM to 5:00 PM Eastern
Pay range: $17.20+ per hour
Salary offers are based on a wide range of factors including relevant skills,
training, experience, education, and, where applicable, certifications obtained.
Market and organizational factors are also considered. Successful candidates may
be eligible to receive annual performance bonus compensation.
Benefits Information:
We are proud to offer best-in-class benefits and programs to support employees
and their families in living healthy, happy lives. Our pay and benefit plans
have been designed to promote employee health in all respects – physical,
financial, and developmental. Depending on whether it is a part-time or
full-time position, some of the benefits offered may include:
• Day 1 Medical, supplemental health, dental & vision for FT employees who
work 30+ hours
• Best-in-class well-being programs
• Annual, no-cost health assessment program Blueprint for Wellness®
• healthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 Holidays plus 1 "MyDay" off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months
of service
• Employee stock purchase plan
• Life and disability insurance, plus buy-up option
• Flexible Spending Accounts
• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities
• and so much more!
In an environment where the patient is at the center of everything that we do
the individuals in this position typically works with Billing Representatives
and other employees handling complex billing issues for the purpose of
collecting revenue for the organization. Will work with Patient, Client and/or
Third Party insurance bills.
RESPONSIBILITIES
Analyzes and applies denials to third party carriers in all media types.
Complies with departmental Business Rules and Standard Operating Procedures.
Focuses efforts on decreasing the Unresponded Accounts Receivable, increasing
cash, and/or reducing bad debt.
Interprets explanation of benefits for appropriate follow up action.
Utilizes automation tools to verify eligibility, claim status and/or to
obtain better billing information.
Creates worklist through Access database and manipulate data to analyze for
trends and resolve claims for adjudication.
Reviews and research denied claims by navigating multiple computer systems
and platforms, in order to accurately capture data/information for
processing.
Communicates and collaborates with members or providers to evaluate claims
errors/issues, using clear, simple language to ensure understanding.
Conducts data entry and re-work for adjudication of claims.
Works on various other projects as needed.
Meets the performance goals established for the position in the areas of:
efficiency, accuracy, quality, patient and client satisfaction and
attendance.
This position is full-time (40 hours/week) Monday – Friday. It may be
necessary, given business need, to work occasional overtime and/or weekends
or holidays.
QUALIFICATIONS
Required Qualifications:
High School Diploma/GED or equivalent work experience.
Demonstrated ability using computer and Windows PC applications, such as
Outlook, Excel, teams message, video conferencing.
Strong keyboard and navigation skills and ability to learn new computer
programs
Required to have a dedicated work area established that is separated from
other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a Quest Diagnostics approved
high-speed internet connection or leverage an existing high-speed internet
service
Preferred Qualifications:
1+ years’ experience in A/R, Billing, and Customer Service, Insurance, or
Healthcare.
Some College level classes/coursework
Previous work experience in a fast-paced environment requiring strong
multi-tasking and problem solving skills
Medical terminology acumen and experience.
Preferred Skills:
Ability to resolve calls, avoiding escalated complaints.
Ability to exhibit empathy and be courteous to callers.
Ability to triage and handle escalated situations.
Ability to work in a fast-paced environment.
Ability to adapt to changes.
Ability to develop and maintain client relationships.
Quest Diagnostics honors our service members and encourages veterans to apply.
While we appreciate and value our staffing partners, we do not accept
unsolicited resumes from agencies. Quest will not be responsible for paying
agency fees for any individual as to whom an agency has sent an unsolicited
resume.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender
Identity/Religion/National Origin/Disability/Vets or any other legally protected
status.