Pre-Authorization and Insurance Billing Specialist - Remote

  • Full-time

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 works with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate.

Eurofins is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organisation services. Eurofins 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. The Group also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products.

In over just 30 years, Eurofins has grown from one laboratory in Nantes, France to 55,000 staff across a decentralised and entrepreneurial network of 900 laboratories in over 50 countries. Eurofins offers 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 2020, Eurofins generated total revenues of EUR € 5.4 billion, and has been among the best performing stocks in Europe over the past 20 years.

Job Description

Transplant Genomics Inc. (“TGI”) is a molecular diagnostics company committed to improving organ transplant outcomes with non-invasive serial monitoring guided by biomarkers. TGI’s product portfolio of both individual and combined whole blood gene expression and donor derived cell-free DNA testing is capable of reliably ruling out subclinical kidney rejection and acute rejection in kidney transplant patients. In addition to kidney transplantation testing, our newest product for liver transplant patients is a blood-based biomarker assay designed to rule out rejection as immunosuppression therapy is optimized.

The Pre-Authorization and Billing Specialist will be responsible for effectively communicate member’s estimated responsibility, submit and obtain prior authorization for billing. This will include verifying test order IDs are received, verification of member insurance and benefits, communication of member’s responsibilities with the patient and/or sales team, submit prior authorization request into CMT/Careviso track, and obtain medical records or documentation requested by insurance prior authorization or appeals.

Essential Job Duties:

  • Verify members insurance and benefits.
  • Communicate members responsibilities.
  • Patient accepts-run insurance.
  • Patient declines-complete Cancellation form or offer payment options.
  • Prompt Pay Discount
  • Arrange Payment Plan
  • Financial Assistance
  • Submit prior authorization request into CMT/Careviso track and return.
  • Obtain medical records or documents requested by insurance for Prior Authorization

Qualifications

Essential; Experience, Knowledge, Skills and Abilities:

  • Minimum 1 year experience in billing with knowledge of EOBs, deductibles and co-pays required
  • Minimum 2 years of client and operational experience in diagnostics preferred
  • Excellent customer service focused and professionalism.
  • Ability to solve problems, prioritize and multi-task.
  • Goal oriented, with excellent time management and organizational skills
  • Excellent interpersonal skills, with ability to interact effectively and work efficiently with people at all levels in an organization.
  • Excellent verbal & written communication skills
  • Keenly attentive to detail
  • Ability to keep sensitive information confidential.
  • High level of proficiency with PC based software, specifically Microsoft Excel, SF.com, iPad and associated apps

Physical Requirements:

  • Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate a keyboard and other office equipment, use a telephone, access file cabinets and other items stored at various levels, including overhead.
  • Ability to speak and hear well enough to communicate clearly and understandably with sufficient volume to ensure an accurate exchange of information in normal conversational distance, over the telephone, and in a group setting.
  • Ability to continuously operate a personal computer for extended periods of time (4 or more hours)
  • Mental acuity sufficient to collect and interpret data, evaluate, reason, define problems, establish facts, draw valid conclusions, make valid judgments and decisions.
  • Must be vaccinated against the novel COVID-19 virus variants or provide proof of approved exemption.

Additional Information

  • 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
  • Monday-Friday, 8:00am-5:00pm

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

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