Billing Coordinator III – Billing Specialist Subsidiary

Role Overview

• Research payer rejections and denials related to genetic testing claims
• Produce a high volume of accurate and successful appeals to insurance carriers to secure payment
• Collaborate with cross‑functional teams to develop best practices and resolve denial‑related issues
• Review payer medical policies to determine the root cause of denials
• Consistently follow up with insurance carriers on outstanding denials and appeal statuses
• Communicate professionally and concisely with clients via telephone, as needed
• Participate in special projects that extend beyond day‑to‑day responsibilities and encourage creative problem‑solving

Requirements

• High School Diploma or equivalent required
• Minimum of 3-5 years of experience in healthcare billing, insurance/claims processing, and navigating payer portals required
• Experience working with Explanation of Benefits (EOBs), denial types, and insurance denial codes strongly preferred
• Experience with Medicare, Medicaid, HMOs, PPOs, and commercial payers strongly preferred
• Revenue Cycle Management (RCM) experience strongly preferred
• Experience with Xifin and CRM applications (e.g., Salesforce) preferred

Benefits

• Medical, Dental, Vision, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan