The Billing Representative II is responsible for reviewing third-party remittances, processing insurance and patient adjustments, and resolving complex billing issues. They must maintain compliance with HIPAA standards while meeting daily production and quality metrics.
Requirements overview
Candidates must have a High School Diploma or GED and at least 1-2 years of medical billing experience. Proficiency in reading EOBs and using Microsoft Excel is required, along with the ability to work independently in a remote environment.
Key skills
Medical billingRemittance applicationInsurance reconciliationExplanation of benefitsHIPAA complianceMicrosoft ExcelData entryProblem solvingCommunication skillsTime managementAttention to detailResearchInterpersonal skillsTeamworkIndependent work
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Quest Diagnostics (NYSE: DGX) empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 47,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives.
The company offers physicians the broadest test menu (3,000+ tests), is a pioneer in developing innovative new tests, is the leader in cancer diagnostics, provides anatomic pathology (AP) services, & interpretive consultation through its medical & scientific staff of about 900 M.D.s & Ph.D.s.
Quest Diagnostics offers the most extensive clinical testing network in the U.S., with laboratories in most major metropolitan areas, & in Mexico, the UK & India. The company also operates four esoteric laboratories, 40 outpatient AP laboratories, & 160 smaller, rapid-response laboratories.
Patients may have specimens collected in any of the company’s approximately 2,250 patient service centers. On a typical workday, testing is performed for about 550,000 patients.
The company is the leading provider of pre-employment drugs-of-abuse screening for employers & risk assessment services for the life insurance industry. It is the world’s 2nd largest provider of clinical trials testing for new pharmaceuticals.
More information is available at www.questdiagnostics.com. Image content features models and is intended for illustrative purposes only. May include AI-generated and/or AI-modified imagery.
Language Assistance / Non-Discrimination Notice
Asistencia de Idiomas / Aviso de no Discriminación
語言協助 / 不歧視通知
www.QuestDiagnostics.com/home/nondiscrimination
HealthcareFinance & AccountingAdministrativeCustomer Service & Support
Description
Billing Representative II - Monday to Friday, Between 7:30AM – 5:30PM EST
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
* Responsible for accurately reviewing and applying third party remittance
* Process insurance/patient refunds and adjustments
* Outbound calls to insurance carriers to reconcile/resolve any issues
* Familiar with explanation of benefits
* Always maintain Compliance and HIPPA standard
* Meet or exceed daily production standards by maintaining work list according
to metrics
* Meet or exceed daily quality standards
* Perform other duties and functions as assigned
* Evaluate and response to all email requests for any AR issues to resolve in a
timely manner
QUALIFICATIONS
Required Qualifications:
* High School Diploma / GED
* Must be 18 years of age OR older
* 1-2 years Medical Billing experience
* Ability to read and translate EOB and insurance correspondence
* Ability to create and modify spreadsheets within Microsoft Excel
Preferred Qualifications:
* 1-2 years remittance application experience
* 1-2 years of QBS experience
Telecommuting Requirements:
* Required to have a dedicated work area established that is separated from
other living areas and provides information privacy
* Ability to navigate on internet for research purposes
* Problem solving, organization and interpersonal skills
* Ability to work independently and as part of a team
* Communication skills, both verbal and written
Soft Skills:
* Ability to navigate on internet for research purposes
* Problem solving, organization and interpersonal skills
* Ability to work independently and as part of a team
* Communication skills, both verbal and written
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.
Requirements
•Medical billing
•Remittance application
•Insurance reconciliation
•Explanation of benefits
•HIPAA compliance
•Microsoft Excel
•Data entry
•Problem solving
•Communication skills
•Time management
•Attention to detail
•Research
•Interpersonal skills
•Teamwork
•Independent work
Benefits
•Medical insurance
•Supplemental health insurance
•Dental insurance
•Vision insurance
•Well-being programs
•Health assessment program
•Mental health program
•Vacation time
•Health/Flex time
•Paid holidays
•Financial coaching
•401(k) plan
•Roth IRA
•Employee stock purchase plan
•Life insurance
•Disability insurance
•Flexible spending accounts
•Matching gifts program
•Education assistance
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