Louisville, CO, USA
67 days ago
Billing Specialist I
ABOUT US:  Biodesix is a leading diagnostic solutions company with a focus in lung disease. The Company develops diagnostic tests addressing important clinical questions by combining multi-omics through the power of artificial intelligence. Biodesix offers five Medicare-covered tests for patients with lung diseases. The blood based Nodify Lung® nodule risk assessment testing strategy, consisting of the Nodify XL2® and the Nodify CDT® tests, evaluates the risk of malignancy in pulmonary nodules, enabling physicians to better triage patients to the most appropriate course of action. The blood based IQLung™ strategy for lung cancer patients integrates the GeneStrat® targeted ddPCR™ test, the GeneStrat NGS® test and the VeriStrat® test to support treatment decisions across all stages of lung cancer with results in an average of two to three business days, expediting the time to treatment. Biodesix also leverages the proprietary and advanced Diagnostic Cortex® AI (Artificial Intelligence) platform, to collaborate with many of the world’s leading biotechnology and pharmaceutical companies to solve complex diagnostic challenges in lung disease. For more information about Biodesix, please visit www.biodesix.com.    OBJECTIVE OF THE POSITION:  Billing Specialist I will be responsible for obtaining necessary patient information to submit on medical claims sent to insurance plans. They will make phone calls to insurance plans and facilities, accurately record information obtained in patient files, and submit claims and appeals to insurance on behalf of patients.  Billing Specialist I will work closely with Client Services and Billing Team to ensure accurate information is recorded and billing concerns are addressed, gather patient information by requesting Medical Records from a variety of sources, interacting with physicians’ offices and Client Services.    RESPONSIBILITIES:  Work as part of a dynamic and growing reimbursement team to prepare and send medical claims to insurance companies, follow-up on and manage through the billing cycle and payment resolution.   Learn billing software and process flows  Adhere to process flows and Standard Operating Procedures  Make productive calls to insurance plans to obtain information and claim/appeal status  Accurate recording of information in patient file  Submission of claims and appeals to insurance companies when  Communicate with and answer patient billing questions and concerns  Work collaboratively with internal departments  Other duties as assigned.  COMPETENCY OR POSITION REQUIREMENTS:  Strong communication skills- both oral and written (over the phone and in-person)  Computational and basic math skills  Organized with strong attention to detail  Ability to adapt to emerging situations and respond with a sense of urgency  Handle confidential financial and personal information appropriately  Communicate and coordinate with internal departments  EDUCATION AND EXPERIENCE:  High School Diploma required  Minimum 1 Year of Medical Billing Experience required, including knowledge of claims processing, denials, and appeals.  1-3 Years of Medical/Laboratory Experience preferred  Undergraduate degree preferred  Bilingual a plus  REGULATORY REQUIREMENTS:  This role shall comply, at a minimum, with the responsibilities outlined in:  CLIA: Clinical Laboratory Improvement Amendments (CLIA) Requirements, Title 42 Code of Federal Regulations Part 493  CAP: College of American Pathologists (CAP): All Common, General, Chemistry, Director Responsibility and Authority and Molecular Pathology checklists   NYS CLEP: New York State Department of Health, Clinical Laboratory Evaluation Program (CLEP), New York State Public Health Law, Article 5 Title 5  ISO: International Organization for Standardization (ISO) 13485, Quality Management Systems, Requirements for Regulatory Purposes, 2016  All other applicable state and regulatory governing authorities including but not limited to: CA, PA, RI, MD  PHYSICAL REQUIREMENTS:   The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job   Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions   While performing the duties of this job, the team member is regularly required to use hands to grip, handle, or feel objects, tools, or controls and talk or hear   The team member frequently is required to sit, walk, and reach with hands and arms; occasionally is required to stand, stoop, kneel, crouch, or crawl, and must occasionally lift and/or move more than 25 pounds   Specific vision abilities required by this job include visual acuity to Colorado driver’s license requirements   WORK ENVIRONMENT:   The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job   Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions   The primary work environment is an office setting   The noise level in the work environment is usually moderate   UNPLANNED ACTIVITIES:  Other duties as assigned  TRAVEL:   Minimal   COMPENSATION:  We are excited to provide:  Competitive compensation $19.57 - $21.73 Individual base compensation is based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.  Discretionary Bonus opportunity  Comprehensive benefits package – effective date of hire  Medical  Dental  Vision  Short/Long Term Disability  Life Insurance  Flex Spending Account  401(k)   120 hours of annual vacation  72 hours of paid sick time off   11 paid holidays  3 floating holidays  Employee Assistance Program  Voluntary Benefits  Employee recognition program  JOB LOCATION:  In office - Louisville, CO  Biodesix is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.     
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