Reimbursement Specialist II

Job Description

Overview

The Spec II Reimbursement is responsible for collecting on all outstanding balances for a specific group of payors to ensure maximum reimbursement. This role involves more complex tasks including payor research, root cause analysis, and problem resolution resulting in increased revenue.
Responsibility

1. Responsible for collecting on all outstanding balances for a specific group of payors to assure maximum reimbursement.
2. Work aged accounts, process appeals and corrected claims, research and reconcile credit balance accounts, and process adjustments as needed.
3. Interact with payers and management team to ensure timely collections of accounts.
4. Demonstrate excellent performance by:
   
   1. Identifying and resolving AR related issues with sustained improvement in cash collections.
   2. Regularly demonstrating independent collection, problem identification, and resolution skills.
   3. Escalating and resolving issues with payor supervisors, managers, and provider relations.
   4. Participating in team meetings and collaborating with Reimbursement Specialists across the enterprise to replicate payor best practices.
5. Comply with applicable CLIA, HIPAA, and Compliance standards.

Qualifications

1. High school diploma or GED equivalent required.
2. 3+ years of experience working in medical billing or revenue cycle.
3. Proven track record of high performance.
4. Excellent organizational, communication, multitasking, and teamwork skills.
5. Regularly demonstrate independent collection problem identification and resolution skills.
6. Demonstrate ability to escalate and resolve issues with payor supervisors, managers, and provider relations.
7. Display exemplary teamwork, professionalism, and time management.
8. Ability to stay updated on industry trends, regulatory changes, and best practices in medical billing and reimbursement.
9. Proficiency in medical billing software and electronic health records (EHR) systems.
10. Working knowledge of ICD-10 and CPT codes.

Physical Requirements

Lifting Requirements -light work or exerting up to 20 pounds of force frequently. Physical Requirements -stationary positioning, moving, operating, ascending/descending, communicating, observing, pushing or pulling, and reaching. Use of equipment and tools necessary to perform essential job functions.

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About Us

Ready to transform the future of patient care through the power of genetics?

For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Our innovative genetic tests are used across specialties including oncology, women's health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes.

What inspires us - and you - is simple: Every test, every insight, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. you're ready to help shape the future of medicine. Your work will have meaningful impact, and your dedication can change lives. Learn more at and follow Myriad Genetics on LinkedIn.

We are an equal opportunity employer and place high value on inclusion and belonging. We prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. In accordance with applicable law, we make reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as any mental health or physical disability needs. If you need assistance submitting your application due to a disability, you can request an accommodation by contacting View email address on click.appcast.io.

Please answer all questions completely. Please do not provide any information not specifically requested on this Employment Application form. To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts.


Myriad Genetics will never request payment, solicit personal financial information, or conduct interviews via informal channels (e.g., personal email, text messages). All opportunity-related communication with Myriad Genetics will come from our employees, whose e-mail addresses end with "@myriad.com."