Apply for the Accounts Receivable Specialist position at Exact Sciences. We are currently hiring for this remote position in the US. Read on to learn more about the role and its responsibilities.
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Position Overview
As an Accounts Receivable Specialist, you will be responsible for facilitating contract implementation and revenue pull-through activities. Your main focus will be ensuring reimbursement from both public and private payers. You will also review billing and payment processes to ensure efficiency and compliance with corporate goals and regulations. Additionally, you will play a crucial role in contract implementation for operations and collaborate with the Market Access team to maintain agreements that provide medical providers and patients with access to our assays while aligning with our company’s goals and objectives.
Essential Duties
Your key responsibilities as an Accounts Receivable Specialist will include, but are not limited to:
- Developing communication for contracts, amendments, and notifications for internal Revenue Cycle Team (RCT) customers and collaborating with the Field Managed Care team in negotiations with payers for operational optimization.
- Assisting in the development and maintenance of a contract database and contract management system in collaboration with the credentialing and legal teams.
- Collaborating with finance and analytics to identify, analyze, and address negative revenue pull-through scenarios specific to payers and across payer segments such as Medicare Advantage, Blues, Medicaid, etc.
- Working with RCT Managers and specialists to develop relationships with billing operations staff and payers, resolving claim adjudication issues both contractual and non-contractual.
- Supporting the execution of pull-through plans to achieve quarterly/annual revenue recovery goals.
- Identifying broad revenue opportunities within a specific customer segment, including utilizing Content Management Systems (CMS) for noncontracted Managed Medicare non-payments and the Employer Coalition initiative.
- Consistently identifying opportunities to recover revenue.
- Collaborating with the Market Access team to identify and prioritize plans that utilize key payers for targeted efforts to impact coverage policy decisions.
- Facilitating early conversations with relevant personnel within our company to provide an overview of the account during the contracting process to avoid implementation delays.
- Demonstrating strong attention to detail and organizational skills.
- Utilizing strong analytical skills to drive results with a high emphasis on quality.
- Presenting recommendations supported by analytical evaluations.
- Tracking and maintaining records effectively.
- Prioritizing and multitasking efficiently.
- Integrating and applying feedback in a professional manner.
- Demonstrating excellent written and verbal communication skills with internal and external personnel.
- Collaborating effectively as a team member.
- Upholding company mission and values through accountability, innovation, integrity, quality, and teamwork.
- Supporting and complying with the policies and procedures of the System and Analytic team.
- Maintaining regular and reliable attendance.
- Working on a mobile device, tablet, or computer screen and performing typing for approximately 90% of a typical working day.
- Working on a computer and phone simultaneously.
- Using a telephone through a headset.
Minimum Qualifications
To be considered for the Accounts Receivable Specialist position, you must meet the following minimum qualifications:
- Bachelor’s degree in Business Administration, Finance, or a related field; or a High School Degree/General Education Diploma and 4 years of relevant experience as outlined in the essential duties in lieu of a Bachelor’s degree.
- 3+ years of experience in billing/reimbursement, coverage, claims, and appeals.
- Demonstrated understanding of public and private Managed Care payers and the reimbursement process.
- Demonstrated understanding of market-related issues, contract basics, product coverage, and pull-through rationale.
- Proficiency with Excel and Epic; demonstrated ability to maintain competency levels.
- Demonstrated ability to perform the essential duties of the position with or without accommodation.
- Authorization to work in the United States without sponsorship.
Preferred Qualifications
The following qualifications are preferred for the Accounts Receivable Specialist role:
- Knowledge of and/or experience with government Managed Care payers.
- Knowledge of billing and coding.
- Knowledge of Tableau.
Salary Range
The salary range for the Accounts Receivable Specialist position is $59,000.00 to $95,000.00 annually. Please note that the actual salary may vary depending on the hiring location. This position is also eligible for bonuses and company stock upon hire and annually. We offer a comprehensive benefits package that includes a retirement savings plan, paid vacation, holiday and personal days, paid caregiver/parental leave, and health benefits (medical, prescription drug, dental, and vision coverage) in accordance with the terms, conditions, and eligibility requirements of the applicable plans.
How to Apply
To apply for the Accounts Receivable Specialist position, please [click here](application link) and submit your application through our online portal. If you require any assistance or need reasonable accommodation during the application process, please email hr@exactsciences.com.
Equal Employment Opportunity
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. We are committed to diversity, inclusion, and creating a welcoming and supportive workplace. Applicants and employees may request to review the applicable portions of our affirmative action program by contacting us. To learn more about your rights as an applicant or employee, please refer to the Right to Work, E-Verify Employer, and Pay Transparency notices, as well as Federal, Federal Contractor, and State employment law posters.
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