The Billing Representative reconciles medical claims to collect revenue and manages patient, client, or third-party insurance bills. They are responsible for applying payments, interpreting Explanation of Benefits, and following up on denied or unresponded claims.
Requirements overview
Candidates must have at least one year of relevant experience or a medical administration course completion and knowledge of medical terminology. Proficiency in data entry at 55 WPM and familiarity with Windows PC applications are required.
Key skills
Medical billingClaims reconciliationMedical terminologyData entryExcelCommunication skillsMulti-taskingOrganizational skillsProblem solvingHIPAA complianceInsurance follow-upDenial managementCustomer serviceWindows PC applicationsIT troubleshootingMath skills
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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 & AccountingCustomer Service & SupportAdministrative
Description
Billing Representative - Monday to Friday, 8:00 AM to 5:00 PM Pacific
Pay range: $17.20 - $23/ 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 reconcile medical claims for the
purpose of collecting revenue for the organization. They work with patient,
client and/or third-party insurance bills, and may work on one or more of these
processes on a daily basis.
RESPONSIBILITIES
* Focused efforts on increasing cash and reducing bad debt.
* Apply payments and denials to third party carriers in all media types.
* Interpret Explanation of Benefits for appropriate follow-up action.
* Complete refunds/adjustments to customer's accounts, while providing
necessary back-up information in order to maintain accuracy.
* Contact third party carriers to follow up on denied and unresponded claims.
* Analyze and apply denials, process and review claims.
* Perform screen scrapes.
* Evaluate and respond to all aspects of written billing inquiries from the
patient or their representative in order to resolve billing issues.
* Handle patient indigency and bankruptcy claims.
* Make have contact with insurance carriers, clients, patients and/or other
outside sources.
* Regular research involving both the web and billing systems.
* May be a certified Medical Coder and/or involved with medical coding.
* Maintain Compliance and HIPAA standards at all times Meet or exceed daily
production standards Meet or exceed daily quality standards.
* Ability to work on various other projects as needed.
* Ability to work overtime as needed based on departmental needs.
QUALIFICATIONS
Requirements:
* At least one year of relevant experience and/completion of medical
administration course.
* Medical terminology knowledge
* Must be able to key 55 WPM with 95% accuracy
* Meet established production and quality standards
* Familiarity with computer and Windows PC applications, which includes the
ability to navigate and learn new and complex computer system applications
and basic IT troubleshooting.
Preferred Experience:
* 1-3 years of experience in A/R, Billing, Customer Service, insurance, or
healthcare preferred.
* Understands multiple billing requirements across varies payers and states.
Skills:
* Ability to work well with a fast-paced team and environment.
* Ability to adapt to changes.
* Ability to have excellent communication skills, both verbal and written.
* Ability to multi-task.
* PC Skills, with specific proficiency in Excel and data entry
* Basic math skills
* Good organizational skills.
* Ability to work independently and as part of a team.
Education
High School Diploma or Equivalent (Required)
Languages
English (Required)
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.