Experience Inc. Jobs

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 Revenue Cycle System Specialist assists to build/maintain/correct systematic issues to ensure timely and accurate processing of claims, appeals, denials, and statements for Exact Sciences. A Systems Specialist demonstrates proven medical insurance knowledge by analytically identifying and resolving billing discrepancies regarding eligibility, denials, appeals, and aged unpaid claim follow up for commercial, government, and plan coverage for optimal Account Receivable (AR) outcomes. A Revenue Cycle Systems Specialist effectively strategizes solutions and effectively communicates resolutions to build to ancillary departments and ensures appropriate coverage mapping by utilizing Epic, external portals, and other software. Essential Duties include but are not limited to the following: Able to resolve high complexity revenue cycle problems including but not limited to missing documentation, remittance issues, and special handling per payor requirements. Able to identify root cause issues with billing, coding, and reimbursement as well as communicating issues to appropriate members of revenue cycle leadership and helping to identify potential solutions. Take an active role in process improvement initiatives related to revenue cycle functions in collaboration with the revenue cycle leadership team. Independently determine initial or ongoing patient insurance eligibility verification issues, investigate and correct accounts within Epic including updates to patient coverage, financial information, and guarantor information. Able to interact with various insurances/third party billers/clearing houses accurately and timely to identify and resolve systematic issues. Understand and maintain Real Time Eligibility interface. Maintain strictest confidentiality; adheres to all HIPAA guidelines and regulations. Review/edit/troubleshoot claim edits and rejections prior to submitting to claim scrubber/clearing house. Able to analyze large data spreadsheets of bulk orders for quality review. Analyze, research, and resolve claim issues applying 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/25605AFF7DE64723