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Quest Diagnostics is seeking a detail-oriented Billing Representative II to join its remote billing team in the United States. This full-time position is ideal for professionals with experience in medical billing, accounts receivable, insurance claims, or healthcare customer service who thrive in a fast-paced environment.
The successful candidate will analyze insurance claims, process payments, resolve billing issues, and collaborate with patients, providers, and insurance companies to ensure accurate reimbursement. Applicants must have a dedicated home workspace and be available to attend occasional in-office training or meetings when required.
Key Responsibilities:
• Analyze and process responses from third-party insurance payers for paper and electronic claims.
• Post insurance payments using Explanation of Benefits (EOB) documents.
• Review denials and determine appropriate follow-up actions.
• Utilize automated tools to process claims, denials, and payment responses.
• Communicate with patients, providers, and internal teams to resolve billing issues.
• Follow departmental business rules and standard operating procedures.
• Support initiatives to improve cash collections and reduce outstanding balances.
• Maintain productivity, quality, attendance, and customer satisfaction standards.
• Assist with additional billing-related projects as assigned.
Requirements:
• High School Diploma, GED, or equivalent work experience.
• Minimum 2 years of experience in Accounts Receivable, Billing, Customer Service, Insurance, or Healthcare.
• Some college coursework is preferred.
• Strong computer skills with Microsoft Outlook, Excel, Microsoft Teams, Windows applications, and video conferencing tools.
• Strong keyboarding, navigation, and data entry skills.
• Excellent verbal and written communication skills.
• Ability to work in a fast-paced, production-driven environment.
• Dedicated home office with secure and private workspace.
• Ability to attend occasional office visits for training or business needs.
• Medical terminology knowledge is preferred.
• Knowledge of Quest billing systems, reject codes, WBS, and QBS is preferred.
• Strong knowledge of:
• Medical billing, Accounts Receivable, and insurance claims processing
• Explanation of Benefits (EOBs), payment posting, and denial management
• Microsoft Office, Windows applications, and healthcare billing systems
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