National Labor Exchange Veterans Jobs

USNLX Veterans Careers

Job Information

EXACT SCIENCES CORPORATION Triage Order Quality Associate I in MADISON, Wisconsin

JOB REQUIREMENTS: Help us change lives At Exact Sciences, we\'re helpingchange how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you\'re working to help others. Position Overview The Triage/Order Quality Associate I (TOQI) will be responsible for the accurate and timely work of filing insurance claims for Exact Sciences. This role will demonstrate medical insurance knowledge by determining initial and/or ongoing eligibility, coverage, and related insurance reimbursement order details, including commercial, government, and all various plan coverage. This role will identify order and reimbursement deficiencies, route orders for appropriate actioning, and document actions taken within the systems for claims lifecycle tracking. This role will also support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software, and communicate insurance information to ancillary departments and other teams within the reimbursement operations departments. This position is remote. Essential Duties Include, but are not limited to, the following: Maintain confidentiality and adhere to all HIPAA guidelines/regulations. Determine initial or ongoing patient insurance eligibility verification for all claims, including commercial and government insurance to the plan coverage and product level. Investigate and correct accounts within Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information. Interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations. Research missing or erroneous information on accounts using various portals and other resources, including outreach and identification of unknown payors. Stay current with relevant medical billing regulations, rules, and guidelines. Provide ad-hoc support within the department for special projects and outages/high volume events. Complete position responsibilities within the appropriate time frame while adhering to quality standards. Ability to communicate effectively with all levels of staff through both verbal and written communications. Ability to... For full info follow application link. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state or federal law. Applicable portions of the Company\'s affirmative action program are available to any applicant or employee for inspection upon request. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/62807C9955104AF4

DirectEmployers