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Revenue Cycle Associate - Collections

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BillionToOne

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Location:
United States

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Category:
Finance

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Contract Type:
Not provided

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Salary:

65141.00 USD / Year ▼
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Job Description:

We are looking for a Revenue Cycle/Medical Collections Associate to be responsible for focusing on collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers. This is a remote position and will report to the Manager of Reimbursement Operations. The ideal candidate must be able to: (1) Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage. (2) Be persuasive and persistent when following up on claims status, and (3) process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.

Job Responsibility:

  • Verify claim was submitted to correct insurance
  • Review/update patient demographics and information for accuracy
  • Process and validate payor requests and claims via correspondence, remittance advice and EOBs (i.e., identify payment discrepancies, inappropriate requests)
  • Investigate all denied services to determine reason and appeal, if appropriate
  • Identify and report root causes associated with denials to reduce/resolve issues
  • Process assigned appeals including submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes)
  • Maximize utilization of Billing system, tools and resources to support cash collection activities
  • Review various reports including aging outstanding and denial reports
  • Comply with Federal and State legislation on all billing related matters
  • Comply with all Safety, Emergency, Hazard, OSHA, HIPAA, Quality Assurance and Administrative Plans, Policies, Guidelines, Protocol, and Standards
  • Support and maintain department cash and DSO goals

Requirements:

  • Minimum of 4+ years specializing in Medical Collections at a diagnostics company, laboratory or other healthcare provider, doing collections from commercial payers
  • Hands-on experience handling the entire appeals process
  • Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, & PPO, HMO, and Indemnity Plans structures
  • Working knowledge of appropriate coding systems
  • CPT, ICD-10 and HCPCS, coverage
  • LCD/NCD and reimbursement associated with such codes
  • High School Diploma or a Bachelor’s degree from a four-year college or university
  • Strong problem solving skills with ability to streamline and improve processes, use good judgment, attention to detail and follow-through are a must
  • Excellent customer service skills
  • excellent verbal and written communication skills
  • Excellent troubleshooting and time management skills, attention to detail, utilizes time in constructive manner
  • Ability to easily adapt to increased business demands
  • Ability to effectively work with and resolve complex accounts & billing issues
  • Self-starter, ability to work independently and be self-motivated to overachieve goals
  • Ability to effectively prioritize and multi-task
  • Ability to work in fast paced environment, perform under pressure, meet tight timelines
  • Establish and maintain cohesive and good working relationships
What we offer:
  • Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
  • Open, transparent culture that includes weekly Town Hall meetings
  • The ability to indirectly or directly change the lives of hundreds of thousands patients
  • Multiple medical benefit options
  • employee premiums paid 100% of select plans, dependents covered up to 80%
  • Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
  • Supplemental fertility benefits coverage
  • Retirement savings program including a 4% Company match
  • Increase paid time off with increased tenure
  • Latest and greatest hardware (laptop, lab equipment, facilities)
  • Generous equity options offering

Additional Information:

Job Posted:
December 26, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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