Billing Specialist II

ABOUT US:

Biodesix is a leading diagnostic solutions company with a focus in lung disease. The Company develops diagnostic tests addressing important clinical questions by combining multi-omics through the power of artificial intelligence. Biodesix offers five Medicare-covered tests for patients with lung diseases. The blood based Nodify Lung nodule risk assessment testing strategy, consisting of the Nodify XL2 and the Nodify CDT tests, evaluates the risk of malignancy in pulmonary nodules, enabling physicians to better triage patients to the most appropriate course of action. The blood based IQLung strategy for lung cancer patients integrates the GeneStrat targeted ddPCR test, the GeneStrat NGS test and the VeriStrat test to support treatment decisions across all stages of lung cancer with results in an average of two to three business days, expediting the time to treatment. Biodesix also leverages the proprietary and advanced Diagnostic Cortex AI (Artificial Intelligence) platform, to collaborate with many of the world's leading biotechnology and pharmaceutical companies to solve complex diagnostic challenges in lung disease. For more information about Biodesix, please visit www.biodesix.com.

OBJECTIVE OF THE POSITION:

The Billing Specialist II will be responsible for obtaining and recording accurate patient information to submit on medical claims and appeals. They will facilitate phone calls (including peer-to-peer appeal level calls) between patients, physicians, and their insurance to prove medical necessity of Biodesix testing. They will review and submit appeals to both government and commercial insurance plans on behalf of patients. The Billing Specialist II will evaluate health plan correspondence and properly assign and manage case flow through the billing process. They will work closely with Customer Support Patient Advocates and Billing Team to ensure accurate information is recorded and billing concerns are addressed. The Billing Specialist II will be responsible for escalated calls and will provide support to Sales Team as needed.

RESPONSIBILITIES:

• Learn billing software and process flows

• Review and submission of appeals to government and commercial health plans

• Facilitate productive peer-to-peer calls to insurance plans

• Adhere to process flows and Standard Operating Procedures

• Accurate recording of patient data and communications

• Answer patient billing questions and concerns

• Work collaboratively with internal departments

COMPETENCY OR POSITION REQUIREMENTS:

• Strong communication skills- both oral and written (over the phone and in-person)

• Ability to adhere to Standard Operating Procedures and process flows

• Computational and basic math skills

• Patient-centric focus

• Organized with attention to detail

• Ability to adapt to emerging situations and respond with a sense of urgency

• Handle confidential financial and personal information appropriately

• Communicate and coordinate with internal departments

• Bi-lingual preferred

EDUCATION AND EXPERIENCE:

• Undergraduate degree preferred

• Experience in Finance or cash collections preferred

• Medical/Laboratory Billing Experience preferred

REGULATORY REQUIREMENTS:

This role shall comply, at a minimum, with the responsibilities outlined in:

• CLIA: Clinical Laboratory Improvement Amendments (CLIA) Requirements, Title 42 Code of Federal Regulations Part 493
• CAP: College of American Pathologists (CAP): All Common, General, Chemistry, Director Responsibility and Authority and Molecular Pathology checklists
• NYS CLEP: New York State Department of Health, Clinical Laboratory Evaluation Program (CLEP), New York State Public Health Law, Article 5 Title 5
• ISO: International Organization for Standardization (ISO) 13485, Quality Management Systems, Requirements for Regulatory Purposes, 2016
• All other applicable state and regulatory governing authorities including but not limited to: CA, PA, RI, MD

PHYSICAL REQUIREMENTS:

• The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• While performing the duties of this job, the team member is regularly required to use hands to grip, handle, or feel objects, tools, or controls and talk or hear

• The team member frequently is required to sit, walk, and reach with hands and arms; occasionally is required to stand, stoop, kneel, crouch, or crawl, and must occasionally lift and/or move more than 25 pounds

• Specific vision abilities required by this job include visual acuity to Colorado driver's license requirements

WORK ENVIRONMENT:

• The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• The primary work environment is an office setting

• The noise level in the work environment is usually moderate

UNPLANNED ACTIVITIES:

• Other duties as assigned

TRAVEL:

• Minimal

COMPENSATION:

We are excited to provide:

• Competitive compensation $23.03 - $26.30 per hour

• Individual base compensation is based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.

• Discretionary Bonus opportunity

• Comprehensive benefits package - effective date of hire

• Medical

• Dental

• Vision

• Short/Long Term Disability

• Life Insurance

• Flex Spending Account

• 401(k)

• 120 hours of annual vacation

• 72 hours of paid sick time off

• 11 paid holidays

• 3 floating holidays

• Employee Assistance Program

• Voluntary Benefits

• Employee recognition program

• JOB LOCATION:

• Louisville, CO

• Biodesix is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.