Subsidiary Billing Specialist - Appeals (REMOTE)

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all.  You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives! 

Labcorp is seeking to add an Subsidiary Billing Specialist - Appeals (Remote) in our Revenue Cycle Management Division! This individual will be primarily responsible for maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Appeals Specialist is expected to understand all aspects of the insurance claim appeal process and can identify insurance trends and provide impactful feedback. The result of our work is an innovative, flexible, highly scalable billing operations in a collaborative, fast-paced team environment.

RESPONSIBILTIES:

• Performs trend analysis of payer rejections and denials
• Produces high volume of successful appeals to insurance carriers to obtain payment
• Collaborates with multiple teams and to develop best practices to ensure we are providing the best service
• Reviews payor medical policies Sends corrected claims
• Consistently follow-ups with insurances on payor denials
• As needed, communicate via telephone with clients, professionally and concisely.
• Participates in projects that extend beyond your day to day to stretch you to think outside the box

REQUIREMENTS:

• High School Diploma or equivalent required
• Minimum 2+ years hands-on experience responsible for healthcare billing, insurances/claims or accessing payor portals required ​
• Experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances strongly preferred 
• Experience with Medicare/Medicaid/ HMOs/PPOs/commercial insurances strongly preferred 
• Revenue Cycle Management (RCM) experience, strongly preferred 
• Knowledge/experience with Xifin, CRM applications (i.e. Salesforce) preferred 

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Desired skills:

• Concise and professional verbal communication skills to interact with, clients, team members and management via various methods, i.e., telephone, email and virtually. 
• Detail oriented with good organizational skills 
• Ability to multitask within multiple systems 
• Adaptable with changing duties, following an SOP but able to problem solve and deviate as required by specific requests 
• Ability to manage time and tasks independently while working under minimal supervision 
• Professional and courteous email communication 
• Possess a strong work ethic and commitment to improving patients’ lives 
• Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment 

Strongly preferred experience:

• Dealing with multiple insurances and accessing payor portals
• Knowledge and/or experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances
• Knowledge, preferably (experience) with Medicare/Medicaid/HMOs/PPOs/commercial insurances
• Revenue Cycle Management (RCM) experience, strongly preferred
• Xifin, CRM applications (i.e. Salesforce), preferred

Remote work requirements:

• Dedicated work from home space 
• Internet download speed of at least 50 megabytes per second 

Application Window Closes:  12/30/2024

Pay Range: $15.75 - $18.50/hour (State minimum wages apply if higher)

Shift:  Monday- Friday; 8:00am-5:00pm PST hours

All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.  

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.  

Labcorp is proud to be an Equal Opportunity Employer:

As an EOE/AA employer, Labcorp strives for diversity and inclusion in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications of the individual and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy or other medical conditions/needs), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.

We encourage all to apply

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