[Remote] Billing Representative

Note: The job is a remote job and is open to candidates in USA. HepQuant is a clinical laboratory based in Denver, Colorado, specializing in noninvasive, blood-based tests that assess liver health. They are looking for a dedicated Billing Patient Services Representative to support front-end billing operations, including insurance verification, patient communications, and claim support activities.

Responsibilities

• Perform daily front-end billing operations and support client billing activities
• Ensure accurate and complete patient demographic and insurance information for billing purposes
• Enter and maintain patient information within Salesforce and/or the Laboratory Information Management System (LIMS)
• Verify patient insurance eligibility through payer websites and portals
• Process provider credentialing and enrollment applications with commercial and government payers, PPO networks, and other applicable entities
• Contact patients regarding insurance coverage, financial responsibility, payment options, and outstanding balances
• Assist with patient assistance programs and payment collection efforts
• Interact with patients, providers, and payers to resolve billing inquiries and discrepancies
• Coordinate with Client Services and other departments to resolve order, billing, and reimbursement issues
• Manage medical records requests, including outreach, documentation, and follow-up
• Review work for accuracy and completeness and maintain detailed records of billing activities
• Schedule specimen collection appointments when applicable
• Maintain strict confidentiality of patient information and comply with all HIPAA and privacy requirements
• Follow all company policies, quality standards, safety procedures, and regulatory requirements
• Perform other duties as assigned

Skills

• Requires a High School diploma or equivalent
• Experience with insurance claims processing, reimbursement, collections, and cash application required
• Working knowledge of CPT, PLA, and ICD-10 coding
• Understanding of Medicare, Medicaid, commercial insurance plans, and payer reimbursement practices
• Knowledge of provider enrollment and credentialing processes
• Strong customer service skills with the ability to communicate professionally and empathetically with patients, providers, and payers
• Excellent verbal and written communication skills
• Strong attention to detail, organization, and time-management skills
• Ability to manage multiple priorities in a fast-paced, high-volume environment
• Strong problem-solving skills and ability to resolve billing-related issues independently
• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook
• Ability to work effectively both independently and as part of a collaborative team
• Associates or Bachelors' degree
• 1-3 years of healthcare billing, revenue cycle, or medical office experience preferred
• Prior customer service or call center experience preferred
• Experience using billing platforms such as Quadax, Xifin, or Telcor is a plus
• Experience working with Salesforce, CRM systems, and/or LIMS platforms preferred
• Familiarity with laboratory terminology and clinical diagnostic testing environments
• Bilingual (English/Spanish) candidates are a plus, but not required
• Candidates located in the Central or Mountain time zones are preferred but not required

Benefits

• Medical, Dental, Vision, Short and Long-Term Disability and AD&D, Life Insurance, 401(k) with company match, profit sharing program.
• We offer flexibility in scheduling and may consider adjusted work hours, including occasional evening coverage and limited Saturday hours, to support patients and providers across multiple time zones.

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