Accounts Resolution Specialist

Company: Eurofins Lancaster Laboratories
Location: Tucker
Posted on: May 16, 2022

Job Description:

Company Description

Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins laboratories work with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate.

The Eurofins network of companies is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organisation services. It is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organisations. It also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products.

In over 30 years, Eurofins has grown from one laboratory in Nantes, France to 58,000 staff across a decentralised and entrepreneurial network of 900 laboratories in over 54 countries. Eurofins companies offer a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products.

In 2021, Eurofins generated total revenues of EUR 6.72 billion, and has been among the best performing stocks in Europe over the past 20 years.

Job Description

Key Responsibilities :
Performs the daily operation of the Front End Billing business functions and some Client Billing
Navigate multiple insurance verification websites to verify patient eligibility
Investigate front-end denials to determine why a claim is denied and what is required to process and pay the claim
Identify current insurance when denial is based on coverage
Follows approved processes and protocols
Recommends and implements process improvements when appropriate
Maintains up-to-date knowledge of compliance, CPT code changes, healthcare billing laws, rules, regulations, and developments
Ensures procedural requirements are followed and ethical standards for the follow-up of overdue accounts are maintained
Communicates immediately to Billing Management regarding any compliance related problems or unresolved processes
Knows how to read an Explanation of Benefits (EOB)
May communicate with Patients and Physician office staff to obtain correct information for proper insurance billing or client billing
Will be required to work in phone queue once properly trained
May be assigned Client Billing duties, which include invoicing, follow up, light collections
Accomplishes work goals, standards, or targets to minimum standard or greater

Qualifications

The Ideal Candidate would possess:
Problem SolvingDevelops solutions to a variety of problems of moderate scope and complexity where analysis of situations or data requires a review of identifiable factors. Exercises judgment to determine appropriate action. Has knowledge of alternatives and an understanding of their impact on the business or technological environment.
Planning and OrganizationPlans, organizes, and prioritizes own daily work routine to meet established schedule.
Discretion/Latitude; Supervision Received; Decision MakingWorks under general direction regarding the progress of projects and special assignments. May seek guidance in resolving problems, interpreting established policies, procedures and practices. Work is reviewed for soundness of judgment.
ImpactContributes to the completion of departmental projects and goals. Errors in judgment, poor recommendations, or failure to achieve results would normally require a moderate expenditure of resources to rectify.
LiaisonEngages with internal company contacts. Represents organization on specific projects. Uses diplomacy and tact in interactions and problem solving.
MentoringMay provide guidance to less experienced staff.

Basic Minimum Qualifications

Cash Application
5 years of healthcare cash application experience
Xifin experience preferred
Proficient in Microsoft Excel

Denial Resolution
5 years of healthcare claims processing experience
Xifin experience preferred
Proficient in Microsoft Excel

File Maintenance
1-5 years of file maintenance experience

Additional Information

Position is Full Time, Monday-Friday, 8 a.m.-5 p.m

Candidates currently living within a commutable distance of Tucker, GA are encouraged to apply.
Excellent full time benefits including comprehensive medical coverage, dental, and vision options
Life and disability insurance
401(k) with company match
Paid vacation and holidays

As per Eurofins NTD Genetics' COVID-19 Policy, all employees (including full-time, part-time, temporary, and consultants) are vaccinated against COVID-19. Medical or Religious exemptions may be requested and are reviewed by executive management. Prior to hire date, proof of COVID-19 vaccination or approved exemption is required.

Eurofins is a M/F, Disabled, and Veteran Equal Employment Opportunity and Affirmative Action employer.

Eurofins is aM/F, Disabled, and Veteran Equal Employment Opportunity and Affirmative Action employer.

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