[Remote] Revenue Cycle Coverage and Claims Associate I

Note: The job is a remote job and is open to candidates in USA. Exact Sciences is a company dedicated to changing how the world prevents, detects, and guides treatment for cancer. The Revenue Cycle Coverage and Claims Associate I will be responsible for accurately filing insurance claims and ensuring proper coverage and reimbursement processes while adhering to HIPAA regulations and maintaining confidentiality. Responsibilities Maintain confidentiality and adhere to all HIPAA guidelines/regulations Determine initial or ongoing patient insurance eligibility verification for all claims, including commercial and government insurance to the plan coverage and product level Investigate and correct accounts within Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information Interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations Research missing or erroneous information on accounts using various portals and other resources, including outreach and identification of unknown payors Stay current with relevant medical billing regulations, rules, and guidelines Provide ad-hoc support within the department for special projects and outages/high volume events Complete position responsibilities within the appropriate time frame while adhering to quality standards Ability to communicate effectively with all levels of staff through both verbal and written communications Ability to work in a team environment and adapt to changing workload and circumstances effectively; able to respond to new information quickly Ability to act in a professional manner in all interactions with members of the Exact Sciences clinical laboratory team, clients, and associates Ability to work with others in a spirit of teamwork and cooperation Excellent problem-solving abilities and organizational skills Disciplined, self-motivated and reliable; able to stay focused on a task and work independently; motivated to perform quality work; diligent about arriving to work on time and completing tasks that are assigned in a timely manner Possess a positive attitude Ensure compliance with all Company procedures and guidelines; including, but not limited to, Code of Business Conduct and Ethics Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork Support and comply with the company’s Quality Management System policies and procedures Maintain regular and reliable attendance Ability to act with an inclusion mindset and model these behaviors for the organization Ability to work designated schedule Ability to work overtime, as needed Ability to work in front of a computer screen and/or perform typing for approximately 90% of a typical working day You will be required to successfully complete an assessment showing understanding of Exact Sciences Epic processes necessary to the job functions with a score of 80% or higher. Exact Sciences will make a reasonable accommodation available, if necessary, to assist an employee with a disability to satisfy this requirement Skills High School Diploma or General Education Degree (GED) 3+ months of experience in any healthcare field Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems Basic knowledge of medical terminology and/or health insurance terms Demonstrated strong attention to detail and focus on quality output Proficient with electronic health records Proficient in Microsoft Office programs, such as Word and Outlook Demonstrated ability to perform the essential duties of the position with or without accommodation Applicants must be currently authorized to work in country where work will be performed on a full or part-time basis. We are unable to sponsor or take over sponsorship of employment visas at this time Associates Degree in field as outlined in the essential duties 1+ years of experience in the medical or insurance billing field Experience in revenue cycle platform applications Medical billing certification Benefits Paid time off (including days for vacation, holidays, volunteering, and personal time) Paid leave for parents and caregivers A retirement savings plan Wellness support Health benefits including medical, prescription drug, dental, and vision coverage Company Overview Exact Sciences offers a portfolio of cancer screening and diagnostic tests that span from early detection to treatment monitoring. It was founded in 1995, and is headquartered in Madison, Wisconsin, USA, with a workforce of 5001-10000 employees. Its website is