Pay range:

$32.89/hr+ Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits information:

\nWe are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects - physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours\nBest-in-class well-being programs\nAnnual, no-cost health assessment program Blueprint for Wellness\nhealthyMINDS mental health program\nVacation and Health/Flex Time\n6 Holidays plus 1 \"MyDay\" off\nFinFit financial coaching and services\n401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service\nEmployee stock purchase plan\nLife and disability insurance, plus buy-up option\nFlexible Spending Accounts\nMatching gifts program\nEducation assistance through MyQuest for Education\nCareer advancement opportunities\nand so much more!

Responsibilities:

Data & Analytics Utilize complex data queries from multiple sources to perform quality checks, conduct trend analyses, and deliver predictive/prescriptive insights on operational billing data. Billing Integrity & Auditing Conduct robust billing audits and quality assurance checks to verify source data, reconcile invoice discrepancies, and ensure accurate payer routing. Issue Resolution & Claims Investigate and resolve non-standard billing issues, manage denied claims through to completion, and analyze root causes to prevent future discrepancies. Stakeholder Collaboration Partner with the Specialty Testing and PODSS teams to align client expectations, facilitate resolutions, and escalate complex account matters when necessary Education & Communication Develop training materials and conduct educational sessions for internal teams and external payers regarding new billing processes, regulatory changes, or system enhancements. Compliance & Continuous Improvement Maintain strict adherence to state, federal, and organizational billing policies while leveraging audit results to drive downstream operational and system efficiency.

Qualifications:

Required WorkExperience:

2+ year of experience in RCM/finance analysis collecting, analyzing, and presenting data and recommendations to management\n2+ years of experience with insurance billing, follow-up, and/or denials

Preferred Work Experience:

Bachelor's degree in Business, Finance, Health Administration or related field\nWorking knowledge of SQL or other Big Data sources

Physical and Mental Requirements:

Sitting/standing for long periods of time\nPotential client visits require reliable mode of personal transportation

Knowledge:

Experience trending, analyzing, and evaluating third party insurance responses in a medical billing environment\nQBS/WBS experience

Skills:

Ability to perform \"root cause analysis\" to assess insurance denials\nExcellent communication, time/project management, problem solving, organizational, and analytical skills\nIntermediate level of proficiency with PC based software programs and automated database management systems (Excel, Access, PowerPoint)\nDemonstrated process improvement, workflow, benchmarking and / or evaluation of business processes Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the following laws if applicable, the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. Quest believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, information, assets, and products including sensitive information; accessing customer data or confidential information, and partnering and regularly working with or supervising other Quest employees and interacting with Quest customers. 65503 Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer:

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