Genomics Reimbursement Analyst
CooperCompanies
Summary
The Genomics Reimbursement Analyst is a member of the CooperGenomics revenue cycle team, responsible for resolution of outstanding billing inquiries and collection of clinic, patient, and insurance revenue in an accurate and timely manner while providing exceptional customer service. This individual is responsible for maintenance of patient and client billing records, collection of payments for services, submission of clean insurance claims, follow-up and resolution of all outstanding balances, responding to customer service inquiries, and performing additional duties or assignments as directed by management.
Job description
Responsibilities
- Support the processes for past-due collections
- Collections for Client and Patient Billing
- Communication via phone and/or email
- Compilation of accessions (invoices) which have completed the dunning cycle for referral to outside collections
- Follow-up with clinics on outstanding Client-Bill AR
- Assist patients and clients with resolution of billing questions received both electronically and via telephone
- Assist Client Services team with pending patient inquiries
- Follow-up on denials and no response insurance claims
- Daily monitoring and resolution of EP Denial errors in an accurate, efficient, compliant manner to ensure clean claim submission and reduce days in AR
- Research eligibility rejections including contacting patients to determine current insurance coverage
- Communicate findings of payer trends to Manager
- Research refund requests from patients and insurance; prepare and document refunds for referral to AP
- Account reconciliation
Qualifications
- Knowledge of medical billing conventions including CPT, ICD-10, explanation of benefits, CMS-1500 form and client-style billing
- Thorough comprehension of the differences between in-network insurance claims and out-of-network insurance claims
- Complex understanding of insurance payor requirements, guidelines, and appeals processes
- Extensive knowledge of patient out-of-pocket expenses including co-pays, deductibles and co-insurances
- Excellent written and verbal communications skills including the ability to effectively communicate with managers, executives, peers in other departments, patients, IVF clinics and sales personnel
- Computer competencies to include solid grasp of MS Word and above-average skill with MS Excel
- Reliability, good organization skills, and able to take direction
- Ability to work collaboratively in a team and build relationships with counterparts in other departments
- Must be able to maintain confidentiality of data including HIPAA, SOX and other similar regulations
- Consistently meet deadlines in a fast-paced, changing, and high-tech environment
- Must be able to work between 6:00 am and 8:00 pm PST, Monday – Sunday
- May be required to work weekends and holidays
- Associate degree or 3-5 years relevant experience in collections
- Healthcare revenue cycle operations experience
Requirements
- Associate degree or 3-5 years relevant experience in collections
- Healthcare revenue cycle operations experience
- Knowledge of medical billing conventions including CPT, ICD-10, explanation of benefits, CMS-1500 form and client-style billing
- Thorough comprehension of the differences between in-network insurance claims and out-of-network insurance claims
- Complex understanding of insurance payor requirements, guidelines, and appeals processes
- Extensive knowledge of patient out-of-pocket expenses including co-pays, deductibles and co-insurances
- Excellent written and verbal communications skills
- Computer competencies to include solid grasp of MS Word and above-average skill with MS Excel
- Reliability, good organization skills, and able to take direction
- Ability to work collaboratively in a team and build relationships with counterparts in other departments
- Must be able to maintain confidentiality of data including HIPAA, SOX and other similar regulations
- Consistently meet deadlines in a fast-paced, changing, and high-tech environment
- Must be able to work between 6:00 am and 8:00 pm PST, Monday – Sunday
- May be required to work weekends and holidays
Benefits
- Competitive total compensation plan
- Variable pay opportunity
- Benefit package
Company overview
CooperCompanies (Nasdaq: COO) is a leading global medical device company headquartered in San Ramon, California, with a workforce of over 15,000 employees. The company operates through two primary business units: CooperVision and CooperSurgical. CooperVision is a trusted leader in the contact lens industry, focusing on vision correction and improving daily visual experiences for millions worldwide. CooperSurgical specializes in fertility and women's healthcare, providing innovative medical devices and solutions that support reproductive health and family planning. With products sold in over 130 countries, CooperCompanies positively impacts more than fifty million lives annually. The company generates approximately $4.1 billion in annual revenue and maintains a strong global presence, leveraging its expertise in medical device manufacturing to address critical healthcare needs in both vision care and women's health sectors. CooperCompanies is publicly traded and continues to expand its market leadership through strategic acquisitions, product innovation, and operational excellence.