PFS Insurance Specialist I-Back End (Monday to Friday 6am-2:30pm PST) - (REMOTE, USA)

Compensation: $22-23/hr. You are eligible to a Short-Term Incentive Plan with the target at 3% of your annual earnings, terms and conditions apply.

PFS Insurance Specialist I-Back End (REMOTE, USA)

Shift: (Monday to Friday 6am-2:30pm PST)

The PFS Specialist’s main role is to assist the collections team towards department goals of increasing cash collections and improving upon reimbursement rates. The PFS Specialist should have the ability to work any claim, regardless of aging, and must work with both commercial and government payers, and review EOB’s.

Essential Functions: 

• Works with collections team to ensure daily productivity and quality standards are met, as well as assist with training and coaching to ensure all team members are operating at full potential
• Creates notes on the patients account for auditing and actions taken per the Standard Operating Procedures or as outlined by the team manager
• Works the total patient accounts outstanding A/R including credits and denials to reduce A/R aging buckets per the department’s goals
• Works hand in hand with the other team members to correct errors
• Send corrected claims and appeals based on payer guidelines in a timely manner
• Other projects as assigned

Qualifications:

• High school diploma or equivalent experience

• min. 2 years’ experience in working denials

• Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes
• Must have ability to adapt to a fast paced, dynamic environment
• Must understand different payer plans collections process

• Must have excellent computer skills

• Must understand the different payer plans and basic understanding of A/R

• Must have working knowledge of MS Excel

Preferred:

• Some college preferred
• Xifin knowledge preferred
• 2+ years’ experience in a clinical laboratory preferred, especially genetic billing

#LI-AC1 #LI-REMOTE

About Us: 

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation …