Receipts Posting Specialist

At Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as cancer evolves over time. Our products are designed to detect minimal residual disease (MRD) and recurrence at the earliest timepoints, enable selection of targeted therapies based on ultra-comprehensive genomic profiling, and enhance biomarker strategy for drug development. Personalis is based in Fremont, California.

Summary:

The Receipts Posting Specialist holds a pivotal and critical position in supporting Personalis' overarching business objectives. This dynamic role is fundamentally responsible for increasing billing and collection efforts while ensuring the expedient processing of payments for the company's proprietary NeXT Personal DX test. The core function of this position is to optimize revenue cycle management by actively overseeing backend claim processes and driving accuracy in payment applications.

A primary responsibility of the Receipts Posting Specialist is executing a robust denial management program and appeals. This program includes investigating root causes of claim rejections, securing missing clinical records, and advocating for full reimbursement across the claim lifecycle. The Specialist is highly skilled in core cash posting functions, independently managing the posting, batching, and reconciliation of receipts, EFT, and ERA/835 while ensuring payer database integrity.

Additionally, this position plays a vital role in upholding Personalis' commitment to expanding patient access to quality healthcare. The Receipts Posting Specialist assists in managing the NeXT Access financial assistance program and provides clear, professional written and verbal support to guide patients through benefits inquiries.

Who You Are:

You have extensive knowledge of medical billing and revenue cycle management. You have a firm grasp on client and third-party billing, payer structures, claims processing and reimbursement requirements. You are known for your strong attention to detail and ability to reconcile daily payment transactions within the backdrop of CPT usage and ICD-10 coding. 

Additionally, you enjoy investigating and using your analytical skills to effectively problem solve. Your passion to troubleshoot issues and discrepancies is demonstrated through a proven track record of resolving claim rejections, denials and working with insurance carriers, clearinghouses and payers to obtain information and potential reimbursement. You are also able to navigate across various computer applications and payer portals. You are known for excellent customer service and can communicate effectively to patients and payers in both written and verbal formats. Contributing to a team environment is something you enjoy; including learning from others, vocalizing potential customer or systems issues during team meetings, and communicating ideas for continual business improvement.