Reimbursement Manager Predictive Biosciences
The reimbursement manager?s primary role is to support effective and efficient billing, contracting, accounts receivable and collection functions. In this role, the reimbursement specialist works with PBS employees, and external parties including billing vendor, and customers.
Work with external billing company to maximize collection from assigned insurance companies to ensure timely payment and maximum reimbursement.
Proactively identify payer issues and work with both internal and external resources to resolve the issues.
Obtain other data elements such as physician NPI number, ICD-9 coding.
Organize and forward billing information to outside billing vendor, including assignment of charges for the claim.
Perform client verification on OIG.
Maintain a reference document for negotiated fee arrangements Maintain a charge entry log for allcases completed, indicating billable vs. non-billable, outside vs. direct billed, etc.
Work closely with laboratory personnel and IT personnel in connection with data maintained in Orchard.
Coordinate activities with Laboratory management.
Prepare deposits for all remittances.
Assist the Finance Department in the overall valuation of net realizable value of accounts receivable.
Manage outside billing vendor relative to transactions processed, management reports, and information needs.
Assist with credentialing packages and create and manage tracking system for enrollment applications.
Must have a minimum of 5years? experience working in medical billing/collections.
Strong customer service and verbal communication skills are a must.
Knowledge of CPT, HCPCS and ICD-9 coding.
Excellent organizational, communication, multitasking and teamwork skills.
Familiarity with billing and medical (laboratory preferred) terminology.
Very detail oriented.
Appropriate IT skills.
Ability to interact with internal staff, vendors, patients and customers ? excellent people phone skills.
Understanding of reimbursement issues and policies, and ability to communicate them effectively.
||128 Spring Street |
Lexington, MA 02421