Exact Sciences Corporation

Insurance Billing Associate

Job Locations US-WI-Madison
Req No.
2020-5463
Category
Medical Billing
Type
Regular Full-Time

Summary of Major Responsibilities

The Insurance Billing Associate (known internally as the Revenue Cycle Associate (RCA)) position, while having a specific focus, is designed to be highly cross-functional. An RCA will initially specialize in cash, reimbursements, or eligibility.  RCAs are responsible for data entry, processing, and resolution of assigned errors and rejections related to the submission of billing files. They work closely with other members of the Customer Care Center, patients, payors, and physicians to ensure missing or incorrect information is resolved timely. They post payments and adjustments in a timely and accurate manner in accordance with department guidelines. They follow-up on unpaid claims, determining and performing the appropriate next step – contact insurance payors and patients, file appeals, and ensure denials are resolved timely.

Essential Duties and Responsibilities

  • Perform patient insurance eligibility verification for all claims requiring follow-up.
  • Data entry and corrections in system including updates to permanent patient demographics.
  • Processing and resolution of errors, rejections, and denials related to the submission of billing files.
  • Research missing or erroneous information on orders including outreach and identification of unknown payors.
  • Quickly and accurately post a high volume of patient, insurance and/or Medicare payments both electronically and manually.
  • Reconcile all batches to the deposit on a daily basis.
  • Timely and accurate posting of all approved adjustments and refunds of overpayments.
  • Process resubmissions and appeals for denied claims.
  • Review Accounts Receivable Reports to identify problematic accounts/payors trends.
  • Route write off requests for any uncollectible Accounts Receivable.
  • Complete position responsibilities within the appropriate time frame while adhering to quality standards.
  • Ensure compliance with all Company procedures and guidelines including, but not limited to, Code of Business Conduct and Ethics.
  • Stay current with relevant medical billing guidelines.
  • Identify issues with billing, coding, and reimbursement related to payments and communicate these to supervisor.
  • Provide ad-hoc support as necessary within the department (i.e. special projects, provide support due to outages/high volume).
  • Complete other duties as assigned.
  • Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
  • Support and comply with the company’s Quality Management System policies and procedures.
  • Regular and reliable attendance.
  • Work with others in a spirit of teamwork and cooperation.
  • Ability to work overtime as needed.
  • Ability to work normal schedule of Monday through Friday during normal business hours.
  • Ability to work in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
  • You will be required to successfully complete all Epic Certification requirements with a score of 80% or higher. Exact Sciences will make a reasonable accommodation available if necessary to assist an employee with a disability to satisfy this requirement.

Qualifications

Minimum Qualifications

  • High School Diploma or General Education Degree (GED).
  • 1+ years of experience in medical or insurance billing field; or related Associates degree; or medical billing certification.
  • Knowledge of health insurance terminology, governmental payers, managed care and insurance organizations.
  • Proficiency in Microsoft applications (Word, Outlook, Excel, PowerPoint).
  • Demonstrated ability to perform the Essential Duties of the position with or without accommodation.
  • Authorization to work in the United States without sponsorship.

Preferred Qualifications

  • Bachelor’s degree in related field.
  • 2+ years of experience in a medical provider setting or billing department within the health care industry.

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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state or federal law. Applicable portions of the Company’s affirmative action program are available to any applicant or employee for inspection upon request.

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