Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can’t wait to meet you!

LOCATION: Remote

ESSENTIAL FUNCTIONS:

• Work closely with AR Specialist II, Team Lead and Supervisor to evaluate and rectify billing issues.
• Duties include, but are not limited to;
  • Research systems to provide updated demographic information
  • Patient billing-Following up as need to assist with payment options
  • Review accounts in the billing system to verify claim handling was appropriate
  • Update claims and reprocess as necessary
  • Review and update posted adjustments as necessary
  • Review EOB for accuracy of payment posting
  • Locate and post checks that have not been posted to the system
  • Ability to delegate work to other team members and departments as necessary
  • Follow up with auto insurance adjusters for bill status
  • Research patient inquiries and provide information to manager regarding the handling of the patient’s account and launch case investigations with billing service to instruct on proper account handling (i.e. appeals to be filed with insurance, claims handled incorrectly, etc.).
  • Launch case investigations with billing service to instruct on proper account handling (i.e. appeals to be filed with insurance, claims handled incorrectly, etc.)
  • Report any trending errors/issues to the Supervisor
  • Follow up with insurances and/or attorneys on claims balances
  • Assist with escalations from Customer Service Representative, PI Billing Representative I &II when necessary
  • Use coded data to produce and submit claims to insurance companies using CMS 1500 forms
  • Work directly with the insurance company, representing attorney and patient to get a claim processed and paid, such as verifying the date of the accident, claims address, and adjuster information
  • May be responsible for, or assist in new employee training

OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time or without notice.

BENEFITS:Your health, happiness, and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, significant Imaging discounts, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!

MINIMUM QUALIFICATIONS:

Education:

• Must have a High School diploma with Associate degree or equivalent from two-year college (highly preferred).

Experience:

• 3 or more years of experience in full RCM.
• Must have knowledge of HIPAA guidelines.
• Advanced knowledge of Medical Billing
• Strong computer skills especially Microsoft Office software such as: Word, Excel, Outlook, Teams, and SharePoint.
• Familiar with Imagine EMR system (preferred).

PHYSICAL DEMANDS: This position does require a dedicated, quiet home workspace. 

DRESS ATTIRE: Business casual attire required when on camera.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.