Patient Care
Reimbursement
Specialist US

 

Your job in a nutshell

The Patient Care Reimbursement Specialist supports the Billing and Customer Service groups in overseeing the patient experience and billing process. This includes interfacing with internal and external customers, handling patient and client billing inquiries, maintaining internal and vendor systems, and data entry tasks. Our ideal candidate has experience interacting directly with patients and overseeing account receivables for a doctor's office, laboratory, or another medical facility. We also expect applicants to have knowledge of billing systems, medical terminology, and health insurance providers.

The Patient Care Reimbursement Specialist will preferabily  be performing work in our Offices in San Diego, California and reports to the Reimbursement Manager.

 

The essential duties and responsibilities are:

  • Support of the Billing and Customer Service departments relating to SkylineDx.

  • Effectively build rapports with diverse internal and external patient and customer base.

  • Take and respond to calls each day, providing required information to external agents and patients.

  • Provide patients and clients with information regarding services, rates, and the SkylineDx financial assistance program.

  • Maintain accurate call records of patient interactions and/or transactions including recording details of inquiries, complaints, or comments, to include action steps taken to resolve reason for call.

  • Successfully and effectively address patient billing and financial assistance inquiries.

  • Receive, review, and resolve client inquiries regarding billing and invoice disputes.

  • Answer questions regarding insurance coverages, and pre-qualifications for insurance modules and riders.

  • Reply to Billing and Customer Service email and fax correspondence, and route calls to other departments when appropriate.

 

Together we ensure the validation and implementation of clinically relevant scientific discoveries into reliable medical diagnostic assays for diagnosis, prognosis and drug effectiveness prediction that will ultimately contribute to improved patient care.  

 

You have

  • a High school diploma or Associate's degree in Accounting or Business Administration or related field. Medical billing certification preferred.

  • minimum of two (2) years of experience in customer service, or similar role where ownership of managing the customer experience is emphasized. 

  • medical billing experience working within a call center, hospital or lab environment, health insurance company, managed care organization or other health care financial service setting preferred.

  • an understanding of healthcare terminology, experience with billing operations performing medical claims processing, patient financial counseling, and healthcare collections preferred.

  • the ability to effectively address regular inbound calls and email volume.

  • the ability to interpret an explanation of benefits (EOB) and have a thorough understanding of patient responsibility and advice codes.

  • the ability to follow and adhere to Standard Operating Procedures (SOPs) and department policies.

  • the ability to effectively communicate both verbally and in writing with patients, customers, peers, and leadership.

  • the ability to multi-task, prioritize, and follow through on tasks, projects, and assignments.

  • an advanced customer service, problem solving, critical thinking and interpersonal skills with focus on quality and professionalism.

  • a strong attention to detail with the ability to identify and correct any errors.

  • self-starter capacities and are capable of working independently and collaboratively.

  • proficiency in MS Office (Excel, Word, Outlook).

  • previous experience with billing software applications preferred (XIFIN, TELCOR).

  • comfortability with use of VOIP telephone systems.

  • regular and reliable attendance.

  • strong analytical skills and creative approach to problem solving.

  • an entrepreneurial mind-set and are able to work in an environment with high quality standards.

  • an excellent command in written and spoken English.

  • the ability to motivate the team and manage both internal and external collaborations.

  • a hands-on mentality and result oriented attitude.

  • affinitive with our corporate quotes/ values (must).

 

We offer

  • a full-time position, a market competitive salary and market competitive secondary conditions of employment.

  • opportunities for personal growth.

  • the best of two worlds: a career in life sciences at an innovative biotech company with the emphasis on clinical diagnostics in close collaboration with an academic environment.

  • the ability to serve society with science based solutions.

 

At SkylineDx

we live to make a difference. It is our mission to improve a patient’s quality of life by enabling them to benefit from personal insights at the genomic level of their disease. That means we are continuously innovating the world of gene signature-based diagnostic testing. That also means we have a unique blend of characteristics. We have our soft side. Our culture is oftentimes described as familial, warm, loyal and highly engaged. We have our rational side where exact sciences are driving our mission. And when needed our passionate side surfaces to clear the way so we can serve society with science based solutions.

 

Our quotes

#serviceisjoy

#valueformoney

#playtogethertowin

#amazingthingshappen

#cogitoergosum

#itsyourparty

 

Do apply!

Send your resume and motivation letter to Soraya Mestar (HR) at hr@skylinedx.com. If you have questions or want more information, don’t hesitate to contact us. You’ll find the contact details here on our website. We will make sure it lands on the right desk!