Billing Reimbursement Auditor II

Finance Ft Myers, Florida


Description

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 Reimbursement Auditor II for our Fort Myers, FL location who wants to continue to learn in order to allow our company to grow.

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 Billing Reimbursement Auditor II conducts reviews of Telcor billing processes on the front and back end to ensure accuracy to improve or drive potential reimbursement. The Auditor II works with the billing team to review and improve revenue cycle integrity while seeking and identifying trends and opportunities for coding, billing and reimbursement optimization. Regular auditing of coding reviews of CPT, ICD-10, and modifier utilization and Billing reviews of denials, payer coverage policies, internal billing processes is performed to drive improved reimbursement.

Responsibilities:

  • Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation.
  • Prepares written reports of the audit findings to strategic reimbursement and billing leadership.
  • Assists with analyzing audit and compliance data and suggests appropriate coding or other solutions as required
  • Assists with research for all billing related claim denials to drive reimbursement initiatives.
  • Compares clinical information from medical records to payer policies to identify denial trends and propose solutions
  • Monitor billing system flow and identify system errors including Telcor, Waystar etc.
  • Stay on top of coding and billing guidelines by self-study, assigned education, coding meeting attendance and related webinars

Requirements:

High School diploma

AAPC or AHIMA Certification required

5+ years related experience in billing, insurance and third-party receivables or healthcare industry, and/or database experience Coding experience, preferable in Clinical Laboratory or Pathology setting

Qualifications:

  • Must obtain CPC Certification within 8 months (company paid)
  • Must be comfortable presenting data to Management
  • Extensive knowledge of reimbursement processes, billing, accounts receivables, ICD-10 diagnosis coding and official coding guidelines, CPT coding, NCCI and modifier usage
  • Knowledge of testing methodologies and Neogenomics test menu.
  • Knowledge of CMS LCD/NCD and payer medical policies
  • Solid computer skills with emphasis on MS Office products, particularly in Excel and experience working in Telcor and Waystar.
  • Excellent written and verbal communication skills
  • Excellent problem-solving and critical thinking skills
  • Able to write reports, correspondence and other documentation materials
  • Able to think analytically, conceptually and systemically
  • Able to collect and research data, draw valid conclusions and make appropriate decisions

All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.