Billing Refund Specialist

at  NeoGenomics Laboratories

Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity.
We believe in career development and empowering our employees. Not only do we provide career coaches internally, but we offer many training opportunities to expand your knowledge base! We have highly competitive benefits with a variety HMO and PPO options. We have company 401k match along with an Employee Stock Purchase Program. We have tuition reimbursement, leadership development, and even start employees off with 16 days of paid time off plus holidays. We offer wellness courses and have highly engaged employee resource groups. Come join the Neo team and be part of our amazing World Class Culture!
NeoGenomics is looking for a Billing Refund Specialist who wants to continue to learn in order to allow our company to grow. This is a remote position with a Monday – Friday, day shift.

NOW THAT YOU KNOW WHAT WE’RE LOOKING FOR IN TALENT, LET US TELL YOU WHY YOU’D WANT TO WORK AT NEOGENOMICS:

As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world’s leading cancer reference laboratory.

POSITION SUMMARY:

The Refund Specialist will analyze the billing system to ensure accurate payment posting and third-party reimbursement. Credits will be investigated and processed following proper accounting methods and established procedures. The Billing Reimbursement Credit Balance & Refund Specialist will interact with payers, collection agencies, and NeoGenomics personnel to resolve credit balances and process refunds accordingly.

POSITION REQUIREMENTS:

• High School Diploma or equivalent required.
• 3 years of experience in A/R, Billing, insurance or healthcare; a background in Laboratory insurance billing preferred
• Exercises discretion and judgment in the resolution of credit balance issues
• Must be able to review and understand EOB/ERA
• Analytical skills required
• Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and Payer Medical Policies associated with such codes.
• Proficient in Microsoft Outlook, Excel, Word, the Inter and Intranet and other programs/software as necessary

• Researches and resolves refunds received by third-party payers by calling to dispute or determine if offset has occurred prior to refunding
• Responsible for processing refunds and resolving credit balances in an accurate and timely manner
• Reconciliation of patient accounts prior to processing refunds to the payer
• Ability to research and answer refund questions
• Complete refunds to third party payers and patients, while providing necessary back-up information to maintain accuracy
• Appeals and denial management based on payer guidelines in a timely manner
• Communicate problems and trends to leads or supervisors to escalate large payer or claims issues and follow through on resolution
• Works closely with cash posting team to resolve credit balances