Jobs for People with MS: National MS Society

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 Lead is responsible for supporting the Revenue Cycle Supervisors and the Prior Authorization team. This team is responsible for all aspects of the prior authorization process and works cross-functionally across many departments (sales, operations, billing, and labteams) to serve our patient and client needs. The primary responsibility of the Revenue Cycle Lead is to support the initial and/or ongoing eligibility, coverage in addition to assessing if a prior authorization is needed for reimbursement of a claim This position is designed to be highly cross-functional and is a \"working\" Lead position with expectations of working alongside staff as well as providing direction. Essential Duties Include, but are not limited to, the following: Responsible for oversight of daily activities as they relate to the Revenue Cycle Team. Assist in training and evaluating RC department staff. Develop and maintain procedures for efficient and accurate processing of claims, processing appeals, posting cash, and other functions as necessary. Process billing transactions in a timely and productive manner while meeting production goals and month end processing requirements. Perform ad-hoc audits and monitor work queues to ensure tasks are being performed in a timely manner. Handle escalations in an appropriate manner and keep leadership appraised. Understands external rules and regulations as they relate to healthcare billing and collections e.g. Medicare, Medicaid, state laws, Health Insurance Portability and Accountability Act (HIPAA), etc. Ensure compliance with all Company procedures and guidelines including but not limited to Code of Business Conduct and Ethics. Act as subject matter expert and assist in educating team on system(s), workflows and guidelines. Suggest billing process/workflow updates/changes as necessary. Conduct all assigned job duties in a timely and productive manner. Perform all job duties according to department policies and procedures. Provide extra resources when needed within the department (e.g.... 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/4B2B1ABBCCAC4696