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Medical Billing Specialist
Medical Billing SpecialistVariantyx • Framingham, MA, United States
Medical Billing Specialist

Medical Billing Specialist

Variantyx • Framingham, MA, United States
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We are transforming precision medicine. Variantyx is a technology-driven precision medicine company providing state-of-the-art diagnostic solutions for rare genetic disorders and reproductive genetics markets, and treatment optimization in oncology. Our proprietary whole genome analysis platform allows us to better understand a person’s genetic makeup, leading to unmatched diagnostic capabilities and improved personalized treatment recommendations.

Role Description :

Variantyx, Inc. is looking for an experienced Medical Billing Specialist to help complete our daily billing tasks to include patient billing, claim rejections, appeal submission and follow-up. In this high visibility role reporting to the Director of Market Access and Reimbursement you will be responsible for developing and executing companywide RCM initiatives and overseeing day-to-day RCM activities to directly contribute to overall company growth and profitability. Strong organizational, data entry, attention to detail and follow-up abilities are a must for a successful candidate. Ideal candidate will have extensive experience in denial and appeal management for genomic testing.

Responsibilities

  • Conduct follow-up inquiries for outstanding claims with third party payors.
  • Review claims issues, make corrections as needed, and rebill.
  • Review explanation of benefits to ascertain if the claim processed and paid correctly.
  • Assist in creating and submitting appeal packages for denied claims.
  • Performs other essential duties as assigned.

Qualifications :

  • An associate’s degree in healthcare or equivalent work experience.
  • Proficient in Microsoft Office, and Salesforce.
  • Genetic and or pathology billing knowledge a plus.
  • Previous experience with XiFIN or related billing system
  • Knowledge of office administration procedures with the ability to operate most standard office
  • equipment.

  • Ability to work professionally with sensitive, proprietary data & information while maintaining
  • confidentiality.

  • Excellent interpersonal skills including the ability to interact effectively and professionally with
  • individuals at all levels; both internal and external.

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    Medical Billing Specialist • Framingham, MA, United States

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