Billing Associate

The role

The Billing Associate manages order intake and claim submission to maximize reimbursement for the Next Personal DX test. This role also administers the NeXT Access financial assistance program to support patient access.

What you will do

• Support the claims & order entry processes
• Support the order entry process by ensuring all billing data is available for order entry
• Determine the coverage status of test orders by reviewing clinical criteria
• Obtain medical records and other missing information
• Assign the proper test codes based on payer and clinical criteria
• Transfer insurance claims and billing data to billing software (e.g., XIFIN)
• Resolve claim and frontend billing errors and manage assigned correspondence queues
• Verify patient benefits and insurance eligibility
• Engage with payers to request prior authorization for tests
• Administering & supporting patient financial assistance for the NeXT Access program

Required qualifications

• 0-2 years of experience in medical billing or a related field
• High school diploma or equivalent GED
• Exceptional phone etiquette for communication with patients, physicians, and insurance representatives
• Proficient computer skills
• Ability to analyze problems and strategize for better solutions
• Proven ability to multitask, prioritize, and manage time efficiently
• Self-motivated and self-directed, with the ability to work independently

Nice to have

• Associate Degree in Business, Marketing, Accounting, Healthcare Administration, or a related field. Including healthcare certifications
• Experience of familiarity with medical insurance benefits and regulations
• Experience with Google Suite
• Working knowledge of billing software (XIFIN)

Benefits

• medical
• dental
• vision
• 401(k) match
• ESPP
• tuition reimbursement
• sick/vacation time
• commuter benefits/ EV charging stations
• onsite gym
• wellness benefits

About the company

Personalis aims to drive a new paradigm for cancer management through breakthrough personalized testing. Their products are designed to detect minimal residual disease and recurrence at the earliest timepoints.