Massachusetts Green Jobs

The Opportunity

Bio-Techne Corporation (NASDAQ: TECH) is a global life sciences company providing innovative tools and bioactive reagents for the research and clinical diagnostic communities. Bio-Techne products assist scientific investigations into biological processes and the nature and progress of specific diseases. They aid in drug discovery efforts and provide the means for accurate clinical tests and diagnoses. Bio-Techne’s Molecular Diagnostics Division, which is comprised of the Asuragen (https://asuragen.com/) and Exosome Diagnostics (https://www.exosomedx.com/) brands, develops molecular assays and software solutions that broaden access to care, answer unmet needs, and improve health outcomes through novel reagent systems and an industry-leading exosome enrichment technology for liquid biopsies.

We are seeking a dedicated and motivated individual to join the Customer Service team as a Laboratory Billing Representative. They will be responsible for entering laboratory requisition data to be processed in our laboratory in a fast-paced, high-volume environment according to established standard operating procedures.

The Representative will be responsible for accurate billing and confirming client and specimen details.

The schedule for this position will be M-F: 9 AM - 5 PM EST, with a rotating 10 AM - 6 PM shift M-TH, overtime as needed.

What You’ll Do

• Performs the daily operation of the Front-End Billing business functions and some Client Billing

• Ensure proper and complete patient information for billing purposes and enter patient billing information.

• Interact with customers to gather support data to ensure invoice accuracy and work through specific billing discrepancies.

• Navigate multiple insurance verification websites to verify patient eligibility.

• Investigate front-end denials to determine why a claim is denied and what is required to process and pay the claim and identify current insurance when denial is based on coverage.

• Educate customers regarding the availability of receiving invoices and remitting payments through online applications where applicable.

• Assist with patient assistance program and outstanding balances and take appropriate actions to ensure payment collected.

• Review all work for validity of data entered.

• Resolve and document all billing discrepancies found on order requisitions.

• Research, translate, and analyze routine front end billing issues.

• Review reports of current billing holds and resolves them in a timely fashion to ensure prompt payment.

• Recommends and implements process improvements when appropriate.

• May be assigned Client Billing duties, which include invoicing, follow up, light collections.

• Ensure customer privacy is always maintained.

• Interface with external billing vendor to address issues or tasks to facilitate claim adjudication.

• Open and sorts Billing Dept mail.

• Distribute relevant Billing information to the appropriate department (eg. EOBs to outside billing company, patient payments to Finance dept, etc).

• Execute and manage medical records request process (outreach, posting, follow up).

• Coordinate with Client Services physician office outreach for missing patient information (i.e. patient address) to obtain correct information for proper insurance billing or client billing.

• Support the appeal process of denied claims.

• Follow guidelines and comply with all company safety, quality, and training procedures and regulations.

• Perform additional duties as assigned.

Qualifications

Who You Are & What You Bring

Education and Experience:

• Requires a High School diploma or equivalent; Associates or Bachelors’ degree, preferred.

• 0-2 years of direct billing experience in a lab setting desired.

• Experience within diagnostics, medical device, biopharma, biotech, healthcare, or related life sciences industry is ideal.

• Prior call center experience is highly preferred.

• Experience with Xifin and LIMS (laboratory information management system) a plus.

• Experience with healthcare cash application and claims processing required.

• Working knowledge of Microsoft Word, Excel, and Outlook are required.

Knowledge, Skills, and Abilities:

• Experience with CPT/PLA codes, national and local Medicare billing rules, and medical insurances.

• Knowledge of basic laboratory and phlebotomy terminology along with clinical laboratory safety procedures.

• Experience with dealing with Medicare, Commercial Covered and Noncovered payors.

• Strong listening skills and professional oral & written communication skills with an ability to inspire trust and accountability though an empathetic communication style.

• Working knowledge of Xifin, SalesForce and laboratory information management system (LIMS) a plus.

• Possess the ability to read, write, and speak English language. Must have legible handwriting.

• Has strong interpersonal interaction and communication skills and demonstrable ability to work collaboratively at all levels within the Bio-Techne organization.

• Skilled in anticipating and resolving issues.

• Excellent attention to detail, time management and process management.

• Proficient in the use of computer applications and software, including Microsoft Word, Excel, and Outlook, and use of telephones, copiers, and fax machines.

• Able to perform a wide variety of tasks and multi-task efficiently.

• Customer service skills for interacting with patients regarding resolution of medical claims and payments.

• Ability to work well in a team environment.

• A calm manner, patience and professional behavior at all times while working with either patients, insurers, internal and external partners.

• Understanding of legal and ethical issues concerning patient confidentiality (HIPAA).

• Ability to handle high volume of work accurately and under stress and time constraints.

• Ability to view video display terminals < 18” away from face for up to 6 hours/day.

• Ability to sit and/or stand for up to 4 hours at a time.

• Ability to bend, reach, and lift up to 25 lbs.

Who We Are and What We Offer

We have an incredibly talented group of down-to-earth professionals with the experience, drive, and creativity to make Bio-Techne a world-class life science solutions company. Our workplace is full of enthusiastic, hardworking, and intelligent people with bold ideas and the determination to see them through.

Bio-Techne provides a competitive salary, medical, dental, disability and life insurance, a 401(k) plan with company matching, an employee bonus plan, and a tuition reimbursement plan. Additional components of compensation include stock option grants and an annual bonus plan. We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Bio-Techne is an E-Verify Employer in the United States.