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Billing Specialist

Cancer Genetics, Inc. (CGI) is an emerging leader in the field of personalized medicine. CGIs state-of-the-art clinical reference lab provides diagnostic services to enable precision medicine in the field of oncology. The extensive oncology test menu provides insight and clarity, informing and guiding personalized cancer treatment.
CGI believes its employees are key to delivering results and fulfilling its mission in the marketplace. We believe a diverse, collaborative, inclusive, and dynamic workplace is core to attracting and retaining people who want to innovate in cancer diagnostics, make a difference in patient outcomes, and make oncology their lifes work.
JOB TITLE: Billing Specialist
Location: Rutherford, NJ
Summary:
The Billing Specialist is responsible for a wide range of functions in medical billing, including insurance and billing investigations, preauthorizations, and appeals of claims denials. The successful candidate is proficient in medical billing, and demonstrates thorough knowledge of CPT and ICD codes. She or he has a thorough understanding of the medical claims appeals process, and is able to quickly and accurately interpret EOBs and claims denials. Required are competency, accuracy, and the ability to meet deadlines while operating in a fast-paced, high-pressured, and HIPAA-regulated work environment.
Responsibilities:
Perform CPT and ICD coding
Respond to inquiries from insurance companies, patients, and providers, including identifying and resolving patient billing complaints
Follow up regarding insurance claims denials, exceptions, and exclusions in a timely manner by utilizing monthly aging accounts receivable reports
Follow up and report on status of delinquent accounts
Evaluate patient financial status and establish budget payment plans
Read and interpret insurance EOBs (Explanations of Benefits)
Meet regularly with Account Manager to discuss and resolve reimbursement issues and billing obstacles
Attend weekly staff meetings and training sessions as required
Assist and/or lead projects, as assigned
Qualifications:
High school diploma or equivalent required; Associate's or Bachelor's degree in Accounting preferred
Strong knowledge of medical billing/collection practices and processes with certification in CPT coding
Bilingual English-Spanish with experience in healthcare or oncology work environment preferred
Ability to learn quickly and work independently in a fast-paced work environment
Conscientious with a strong work ethic and drive to see projects from beginning to end
Proven ability to complete work efficiently, accurately, and on-time while managing a heavy workload
Proficiency in Excel, Outlook, and Word
Must be focused with good organization skills and the ability to maintain strong attention to detail
Well-developed professional communication skills, including verbal and written, with ability to present in small group settings
Knowledge of LIM/LIS such LabVantage or Novopath and/or billing systems such as Xifin a plus
Compensation and Benefits
Competitive salary, commensurate with experience
Generous accrued Paid Time Off (PTO) policy
Benefits include health, dental, vision, and 401(k) plans, plus eligibility for stock options
Equal Opportunity Employer/Affirmative Action Employer
Please inform Human Resources if you require accommodation in order to complete the job application process


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