Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins works with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate. Eurofins believes it is a global leader in food, environmental, pharmaceutical and cosmetics products testing and in agroscience CRO services. It is also one of the global independent market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, CDMO, advanced material sciences and in the support of clinical studies.
In over just 30 years, Eurofins has grown from one laboratory in Nantes, France to over 47,000 staff across a network of more than 900 independent companies in over 50 countries and operating more than 800 laboratories. Eurofins offers a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products, as well as providing innovative clinical diagnostic testing services, as one of the leading global emerging players in specialised clinical diagnostics testing.
In 2019, Eurofins generated total revenues of EUR € 4.56 billion, and has been among the best performing stocks in Europe over the past 20 years.
Job Description
Preauthorization and Insurance Billing Specialist responsibilities include but are not limited to:
Minimum of two years experience in hospital billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required.
College degree preferred but not necessary can be substituted with on-point experience.
Serve as principal contact for laboratory and/or department staff regarding prior authorization process/requirement for services to be rendered.
Interacts with Insurer and Third-Party payor case managers to explain the clinical justification for all Eurofins testing being ordered by our clients.
Facilitates submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policies and procedures and maintaining departmental productivity and quality goals.
Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Completes accurate documentation in both the Auth/Cert and Referral Shells.
Handles the verification of insurance benefits for customers.
Notifies customers of deductibles and co-insurance due.
Contacts primary care physicians for information needed to submit preauthorization.
Regularly calls insurance companies to follow up on outstanding preauthorization and statuses.
Explores other payment options with customer when needed.
Keeps sensitive customer and company information confidential, particularly PHI.
Qualifications
The Ideal Candidate would possess:
Experience in managed care contracting related field or comparable in the diagnostic market
Detail orientation
Excellent communication skills in stressful circumstances (emotional patients for example)
Independent judgment in extending patient assistance programs for those defined under the Federal Poverty Guidelines in strict accordance with the Eurofins Patient Financial Assistance Policy set by the Eurofins Clinical Diagnostics Compliance and Billing Departments
Basic Minimum Qualifications:
Minimum of two years’ experience in hospital billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required.
College degree preferred but not necessary can be substituted with on-point experience.
Detail orientation, excellent communication skills in stressful circumstances (emotional patients for example) and independent judgment in extending patient assistance programs for those defined under the Federal Poverty Guidelines in strict accordance with the Eurofins Patient Financial Assistance Policy set by the Eurofins Clinical Diagnostics Compliance and Billing Departments
Prefer experience in managed care contracting related field or comparable in the diagnostic market
Authorization to work in the United States indefinitely without restriction or sponsorship
Additional Information
Position is full-time, fully remote, Monday - Friday 8:00 am to 5:00 pm. Candidates must be located near Lenexa, KS.
Excellent full time benefits including comprehensive medical coverage, dental, and vision options
Life and disability insurance
401(k) with company match
Paid vacation and holidays
Eurofins is a M/F, Disabled, and Veteran Equal Employment Opportunity and Affirmative Action employer.
