Receipts Posting Specialist, Medical Billing

At Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as cancer evolves over time. Our products are designed to detect minimal residual disease (MRD) and recurrence at the earliest timepoints, enable selection of targeted therapies based on ultra-comprehensive genomic profiling, and enhance biomarker strategy for drug development. Personalis is based in Fremont, California.

Summary:

The Receipts Posting Specialist holds a pivotal and critical position in supporting Personalis' overarching business objectives. This dynamic role is fundamentally responsible for increasing billing and collection efforts while ensuring the expedient processing of payments for the company's proprietary NeXT Personal DX test. The core function of this position is to optimize revenue cycle management by actively overseeing backend claim processes and driving accuracy in payment applications.

A primary responsibility of the Receipts Posting Specialist is executing a robust denial management program and appeals. This program includes investigating root causes of claim rejections, securing missing clinical records, and advocating for full reimbursement across the claim lifecycle. The Specialist is highly skilled in core cash posting functions, independently managing the posting, batching, and reconciliation of receipts, EFT, and ERA/835 while ensuring payer database integrity.

Additionally, this position plays a vital role in upholding Personalis' commitment to expanding patient access to quality healthcare. The Receipts Posting Specialist assists in managing the NeXT Access financial assistance program and provides clear, professional written and verbal support to guide patients through benefits inquiries.

Who You Are:

You have extensive knowledge of medical billing and revenue cycle management. You have a firm grasp on client and third-party billing, payer structures, claims processing and reimbursement requirements. You are known for your strong attention to detail and ability to reconcile daily payment transactions within the backdrop of CPT usage and ICD-10 coding. 

Additionally, you enjoy investigating and using your analytical skills to effectively problem solve. Your passion to troubleshoot issues and discrepancies is demonstrated through a proven track record of resolving claim rejections, denials and working with insurance carriers, clearinghouses and payers to obtain information and potential reimbursement. You are also able to navigate across various computer applications and payer portals. You are known for excellent customer service and can communicate effectively to patients and payers in both written and verbal formats. Contributing to a team environment is something you enjoy; including learning from others, vocalizing potential customer or systems issues during team meetings, and communicating ideas for continual business improvement.

Onsite: Monday and Tuesday

Responsibilities:

• Support revenue cycle operations for third-party claims and client billing 
• Support the order entry process by ensuring all billing data is available for order entry
• Determine the coverage status of test orders by reviewing complex clinical criteria 
• Assign the proper test codes based on payer and clinical criteria. 
• Follow-up on claim errors and insurance denials while recognizing root causes of errors and denials 
• Obtain medical records and other missing information and process appeals for denied claims
• Assist patients or insurance companies via phone and/or email 
• Administering & supporting patient financial assistance for the NeXT Access program
• Collaborate with the Client Experience team, our commercial partners, and other business units
• Accurately process and post receipts, create payment batches, and reconcile transactions
• Independently identify and resolve payment posting errors 
• Support activities related to integrating the billing system with LIMs and other IT systems

Required Qualifications:

• A minimum of 2+ years of experience in the medical billing or related field 
• High school diploma or equivalent GED. 
• Exceptional phone etiquette for communication with patients, physicians, and insurance representatives 
• Able to multitask, prioritize, and manage time efficiently 
• Self-motivated and self-directed; able to work without supervision 
• Proficient spreadsheet skills that includes creating formulas & pivot tables and moderately complex tasks such as data sorting, filtering, and mathematical computation 
• Ability to analyze problems and strategize for better solutions. 

Preferred Qualifications:

• BS/BA Degree in Business, Marketing, Accounting, Healthcare Administration, or a related field. Including healthcare certifications. 
• Solid understanding of ERA/835 (electronic remittance advice), PLB (provider-level balance), EFT (electronic funds transfer), and clearinghouse operations 
• Experience with Google Suite 
• Working knowledge of billing software (XIFIN)

The hiring range for this position is $30.00 to $37.50 per hour, which may factor in various geographic regions. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. Our full-time regular positions also include an annual performance-based bonus (or a sales incentive plan) and long-term incentive units (equity) provided as part of our compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the level and position offered.

Personalis is an equal opportunity employer and is committed to the full inclusion of all individuals. As part of this commitment, Personalis will ensure that persons with disabilities are provided with reasonable accommodations. If you need an accommodation to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please let your recruiter know, if/when they contacts you.

Personalis is an Equal Opportunity Employer/Minorities/Females/Veterans/Disabilities. Personalis offers a competitive compensation package and benefits including medical, dental, vision, 401(k) match, ESPP, tuition reimbursement, sick/vacation time, commuter benefits/ EV charging stations, onsite gym, and wellness benefits. (For US only, benefits in other countries may vary.) 

 

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