Louisville, CO, USA
68 days ago
Billing Specialist II
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:  The Billing Specialist II will be responsible for obtaining and recording accurate patient information to submit on medical claims and appeals.  They will facilitate phone calls (including peer-to-peer appeal level calls) between patients, physicians, and their insurance to prove medical necessity of Biodesix testing.  They will review and submit appeals to both government and commercial insurance plans on behalf of patients.  The Billing Specialist II will evaluate health plan correspondence and properly assign and manage case flow through the billing process.  They will work closely with Customer Support Patient Advocates and Billing Team to ensure accurate information is recorded and billing concerns are addressed.  The Billing Specialist II will be responsible for escalated calls and will provide support to Sales Team as needed.      RESPONSIBILITIES:  Learn billing software and process flows  Review and submission of appeals to government and commercial health plans  Facilitate productive peer-to-peer calls to insurance plans  Adhere to process flows and Standard Operating Procedures  Accurate recording of patient data and communications  Answer patient billing questions and concerns  Work collaboratively with internal departments  COMPETENCY OR POSITION REQUIREMENTS:  Strong communication skills- both oral and written (over the phone and in-person)  Ability to adhere to Standard Operating Procedures and process flows  Computational and basic math skills  Patient-centric focus  Organized with 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  Bi-lingual preferred  EDUCATION AND EXPERIENCE:  Undergraduate degree preferred  Experience in Finance or cash collections preferred  Medical/Laboratory Billing Experience preferred  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 $23.03 – $26.30 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:  Hybrid - 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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