- Remote, United States
- Remote
- Full-time
- $36–$41 per hour
- 3–5 years
Owns MyOme’s laboratory payer enrollment lifecycle, ensuring the lab is credentialed, enrolled, and set up to bill and get paid by every payer.
Compensation
The hourly pay range for this role is $36.06–$40.86. Final pay will be determined based on factors such as skills, experience, and qualifications. This role is also eligible for equity.
Responsibilities
- Prepare, submit, and track laboratory enrollments and revalidations with Medicare, state Medicaid programs, Medicare Advantage, and commercial payers.
- Manage EDI claim enrollments (837) and ERA (835) and EFT enrollments with payers and clearinghouses, coordinating testing and go-live with the billing system vendor.
- Perform XiFin file maintenance, including payer, provider, NPI, and ordering-physician setup, so claims route and remittances post correctly.
- Maintain the lab’s credentialing data and documents, including NPPES, CAQH, CLIA and CAP certificates, state lab licenses, and W-9s, and track expiration and revalidation dates.
- Keep a credentialing and enrollment tracker current with application status, effective dates, payer IDs, and follow-up actions.
Requirements
- Associate’s degree
- Nice to have: XiFin