Myriad Genetics, Inc.

  • REIMBURSEMENT SPECIALIST 1

    Location US-OH-Mason
    Posted Date 1 month ago(5/14/2018 7:00 AM)
    Job ID
    2018-7157
    Location Details
    Mason, OH
    Name
    Assurex Health
  • Overview

    At Assurex The Reimbursement Specialist 1 coordinates and performs all aspects of billing and collections from Commercial, Government, Private payers in the healthcare industry for AssureRx Health in accordance with training materials, written processes, scripts and Standard Operating Procedures (SOPs).  The Reimbursement Specialist 1 works in a high performance, team environment and is responsible for a number of billing and collections-oriented tasks.

    Responsibilities

    • Understand payer requirements for submission of patient claims including appeals
    • Populate and maintain SOPs, including payer specific data for the management of claims and communicate same to Customer Service.
    • Monitor status of claims in collections system
    • Investigate error notifications and hand-off as appropriate
    • Respond to denials, re-submit and/or appeal as appropriate
    • Monitor and report standardized metrics on claims status/progress in a timely manner
    • Establish contact points/relationships with payers to optimize claims/appeals process
    • Ensure completeness and accuracy of contract database for in-network payers
    • Monitor cash receipts against contracts database, follow up discrepancies as appropriate
    • When claim/appeals process exhausted (according to policy) hand-off to Customer Service to initiate collections from patients

    Qualifications

    • High School Diploma required
    • Knowledge of medical billing and collection practices
    • 1-3 years of experience working in a Reimbursement Specialist positions
    • Proficient in all Microsoft Office software applications including strong knowledge in Microsoft Excel
    • Knowledge of basic medical coding and third-party operating procedures and practices
    • Skill in answering a telephone in a pleasant and helpful manner
    • Ability to read, understand and follow oral and written instructions
    • Ability to establish and maintain effective working relationships with payers
    • Must be well organized and detail-oriented
    • Good financial acumen
    • Strong team skills
    • Excellent time management, scheduling, and organizational skills
    • Must be analytical, flexible, innovation, and self-motivated
    • Must have the flexibility to work extra hours to meet corporate and departmental goals

     

    At Assurex the physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; talk; or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; and stoop; kneel; or crouch The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and depth perception.

    About Our Company

    Assurex is a personalized medicine company that specializes in pharmacogenomics and is dedicated to helping healthcare providers get the genetic information they need to determine the genetically appropriate medication(s) for individual patients suffering from neuropsychiatric and other medical conditions. Assurex Health’s proprietary technology is based on pharmacogenomics— the study of the genetic factors that influence an individual’s response to drug treatments—as well as evidence-based medicine and clinical pharmacology. The GeneSight test was developed in the Assurex Health clinical laboratory and is based on patented technology licensed from two world renowned medical centers, Mayo Clinic and Cincinnati Children’s Hospital Medical Center, who continue to be research collaborators.  The company was founded in 2006 and is located in Mason, OH.   Assurex Health is a subsidiary of Myriad Genetics, Inc.

     

    Assurex is an equal opportunity employer and as such, affirms in policy and practice to recruit, hire, train and promote, in all job classifications without regard to race, color, religion, gender, age, sexual orientation, gender identity, national origin, disability status or status as a protected veteran.

     

    Reasonable accommodation will be provided for qualified individuals with disabilities and disabled veterans in job application procedures. We believe that diversity lends a regional, national, and global advantage to the clients we serve. Our workforce consists of dynamic individuals, with a range of backgrounds, talents, and skills.

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