Radiology Claims Expert
5 days ago
- Prepare and submit billing data and medical claims to insurance companies, including any additional clinical information as necessary.
- Make changes to demographic or insurance information as needed to produce accurate claims.
- Bill claims both electronically and manually, as needed.
- Analyze coding to ensure proper billing of claim.
- Request and attach required clinical documentation as needed for processing of the claim.
- Examine patient charges for accuracy and request any missing information.
- Compare EOBs to current fee schedule to ensure proper processing of claim.
- Review unpaid and/or denied claims, correct, and resubmit claims to payors; submit appeals.
- Follow up with insurance companies, addressing denials and rejections.
- Report any unresolved disputed claims to management when necessary.
- Prepare bills and invoices and document amounts due.
- Record information about the financial status of patient accounts and status of collection efforts.
- High School Diploma, 3+ years of experience in a healthcare financial setting or medical office setting.
- Excellent customer service skills, strong attention to details, multi-task as needed.
- Familiarity with an EMR and Microsoft Office 365.
- Able to take responsibility and work under pressure.
- Positive team player.
- Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.
- Proficient in medical terminology, especially radiological terms and procedures.
Competitive hourly rate of $18-$20 per hour, flexible hours (M-F 8a-5pm), and opportunities for professional growth and development.
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