Pathnostics is a leading precision diagnostic testing and development company providing solutions for Infectious Disease and Cancer diagnostics that will get patients on the right path. Check out our website to learn more: https://pathnostics.com/.

The Medical Billing Specialist I supports the billing team and the Director of Revenue Cycle by performing a wide range of administrative duties to help Pathnostics maintain accurate, compliant, and timely billing for services rendered. The temporary position is estimated to end in January 2027.

Available Shift: Monday - Friday, 7:30 am - 4:00 pm PST

Pay: $24/hour

Full-time employees at Pathnostics are offered:

• 2 weeks PTO + 1 week sick leave, on an accrual basis
• Employee and Dependent Health Insurance
• Optional FSA/DCA
• Dental, Vision, Life Insurance
• Voluntary Pet Care benefit
• 401(k)
• Employee Assistance Program (mental health, child & eldercare issues, etc.)
• Starting at $1,000 Employee Referral Bonus program
• Wellness and Culture Club programs

Candidates Must Have:

• At least 2 years' experience of customer service (phone & email) within the healthcare field, laboratory, or diagnostics industry is highly preferred
• At least 1 year of experience with computerized billing systems or Revenue Cycle Management (RCM) software, Xifin or similar is preferred
• Ability to adapt to changing procedures, policies, work environment, and responsibilities
• Ability to communicate effectively, document, and follow instructions with a high level of accuracy
• A patient-first, mission-oriented mindset

Other Desired Skills:

• Working knowledge of health care billing procedures, documentation, regulations, payment cycles, and standards.
• Experience in medical collections, payment posting, medical coding, and denials.
• CPT and ICD-10 coding knowledge.
• Ability to interpret explanations of benefits.
• Out-of-network experience is helpful.

Duties:

• Answer telephone promptly and in a polite and professional manner.
• Handle a high volume of inbound calls in a timely manner.
• Follow communication "scripts" when handling different topics.
• Investigate and respond to all phone inquiries from patients and clients concerning invoices, pricing, account status, claim status, and eligibility issues.
• Secure and enter necessary insurance and demographic information to submit and/or re-bill insurance claims as needed.
• Work with appropriate departments or staff to resolve questions and/or issues related to billing, coding, and denials.
• Explain patient statements and explanation of benefits including charges, insurance allowable, adjustments, coinsurance, and payments.
• Document all patient interactions in the billing system and call logs in a concise, accurate, and timely manner.
• Monitors billing messages and places outbound calls.
• Comply with all applicable HIPAA policies and procedures.
• Resolve unbillable accessions by utilizing various tools available, including contacting clients, patients, and/or sales reps to retrieve missing information and re-education.
• Track, monitor, and report billing discrepancies.
• Coordinate with an outsourced billing company to implement company policies and procedures as it relates to the billing process.
• Address billing-related inquiries from patients, clients, and sales reps received by either inbound phone calls or emails.
• Perform collection efforts by obtaining medical records and supporting documents.
• Upload medical records and supporting documents to insurance companies' websites.
• Other duties as assigned.

Pathnostics is an Equal Opportunity Employer. Pathnostics participates in E-Verify.