Billing and Reimbursement Associate
Job Location Cambridge, MA
Req Number 0525
Department Finance & Billing
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ABOUT FOUNDATION MEDICINE

Foundation Medicine, Inc. (FMI) began with an idea—to simplify the complex nature of cancer genomics, bringing cutting-edge science and technology to everyday cancer care. Our approach generates insights that help doctors match patients to more treatment options and helps accelerate the development of new therapies. Foundation Medicine is the culmination of talented people coming together to realize an important vision, and the work we do every day impacts real lives. 

ABOUT THE JOB

The Associate, Billing and Reimbursement contributes to the overall patient access to FMI products through support and education.  The position supports the daily queues of incoming accessioned cases to review for complete and accurate billing information to determine the party responsible for payment, including benefits investigation and prior authorization processing. The incumbent acts to minimize reimbursement as a barrier to receiving physician orders and is responsible for answering questions by internal and external customers on billing inquiries, working with third party insurance companies and completing manual charge entries. This role may also work on FMI’s financial assistance program.

Key Responsibilities:

  • Coordinate the receipt of Advance Notice forms from patients as required by payers.
  • Answer incoming calls and e-mails to address internal and external inquiries.
  • Manage department email in-boxes to resolve inquiries, and timely dispatch or escalate.
  • Process benefit investigations and prior authorizations as required by payers and clients.
  • Assist patients in identifying payment plan options and implementing plans in billing systems.
  • Process credit card and other payment submissions into billing systems.
  • Coordinate with Sales and Billing Operations to manage billing preferences and education opportunities for ordering clients.
  • Educate patients on financial assistance program and assist them with the application process.
  • Process financial assistance applications and respond to patients/physicians regarding awards.
  • Ensure financial assistance needs are addressed and respond to patient concerns regarding benefits and coverage determinations.
  • Communicate with internal and external clients to obtain missing billing information.
  • Review and enter supplemental test charges to the billing vendor’s system(s).
  • Other duties as periodically assigned.

QUALIFICATIONS

Basic Qualifications:

  • High School Diploma or General Education Degree.
  • 1+ years of customer service experience and/or professional office experience.

Preferred Qualifications:

  • Bachelor’s Degree.
  • 1+ years of professional experience in a patient-centric role.
  • 1+ years of functional experience with medical billing.
  • Experience with Prior Authorization and Advance Beneficiary Notices.
  • Proficiency in Spanish, written and spoken.
  • Proficiency in Microsoft Excel.
  • Ability to communicate clearly and concisely.
  • Excellent organizational skills.
  • Ability to prioritize as necessary in a fast-paced work environment.
  • High level of accuracy and attention to detail.
  • Commitment to meeting internal deadlines and responding to client inquiries.
  • Knowledge of HIPAA patient confidentiality standards for medical and financial information.
  • Fluid and adaptable to changing policies and procedures.
  • Demonstrated commitment to values and integrity.
  • Demonstrated history of professionalism
  • Ability to work well under pressure while maintaining a professional demeanor.

Foundation Medicine is proud to be an Equal Opportunity and Affirmative Action employer and considers all qualified applicants for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin. Further, qualified applicants will not be discriminated against on the basis of disability or protected veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. See also FMI’s EEO Statement and EEO is the Law and Supplement. If you have a disability or special need that requires accommodation, please let us know by completing this form.  (EOE/AAP Employer)

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