COMPANY PROFILE:

Precision Diagnostics (“Precision” or the “Company”), based in San Diego, California is a fast growing clinical laboratory that specializes in providing quantitative drug testing, primarily for the purpose of helping physicians monitor their patients undergoing treatment for pain or substance abuse. Precision’s objective is to improve patient adherence/compliance with their prescription regimen and protect medical practices from liability.

POSITION DESCRIPTION:

Responsible for a variety of billing and follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection. Submits claims if needed once patient provides new Insurance information. Identifies problem accounts and investigates and corrects errors, follows-up on missing account information. Supports continuous improvement of organization processes and personal knowledge and skills. Maintains and protects confidential information. Provides excellent customer service through cooperative working relationships. Meets productivity and quality standards.

The Self Pay Collector is responsible for reviewing self-pay account balances and obtaining payment from the guarantor prior to the account reaching a "bad debt" status. He/She is responsible for making a "soft" collections call both incoming and outgoing and providing alternative ways for guarantors to resolve account balances, e.g. payment plans. Collector is to be respectful and professional at all times so as not to deter guarantors or patients from seeking future laboratory services with Precision.

QUALIFICATIONS

• Strong working knowledge of managed care plans, insurance carriers, government payers and payer requirements.
• Knowledge of Medical Terminology and Medicare Compliance. Familiarity with HIPAA privacy requirements for patient information.
• Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
• Ability to multitask and stay organized.
• Good verbal and written communication skills.
• Detail oriented and ability to prioritize work.
• Requires a moderate level of interpersonal, problem solving, and analytic skills.
• Knowledgeable on insurance and reimbursement process.
• Ability to establish/maintain cooperative working relationships with staff, clients, sales team and providers.

PREFERRED EDUCATION/EXPERIENCE/SPECIALIZED SKILLS/CERTIFICATION:

• Two years of patient accounts experience in a healthcare setting.
• Laboratory experience preferred.

Job Type: Full-time