What are the responsibilities and job description for the Insurance Claims and Denials Representative position at Radiology of Huntsville?
Radiology of Huntsville (ROH) is the largest, most highly specialized radiology practice in North Alabama.
ROH provides general and specialty radiology coverage to six Alabama hospitals, two breast centers, ten outpatient imaging centers and multiple physician offices.
Our fifty full-time board-certified physicians offer our patients an experienced radiology team with expertise in a wide range of sub-specialties in radiology. Our commitment to high quality patient care combined with cutting edge technology positions us as leaders in the radiology community.
This position requires frequent contact with employees, and outside vendors. The successful candidate must possess a strong service orientation and sense of urgency, critical thinking and problem solving skills, ability to prioritize and organize, and the ability to maintain the highest level of confidentiality. Must be able to work in a fast paced, high volume work environment.
This position will be based out of our Huntsville office. Regular working hours will be from 8:00 am to 5:00 pm Monday - Friday
Specific Responsibilities of the Job:
- Review system generated claims for correct coding and billing information.
- Assist patients by answering inquiries related to billing and insurance.
- Research and attach all necessary medical records when requested for claim processing.
- Generate secondary claims when appropriate.
- Manage clearinghouse audit trails.
- Modify all Imagine account claims for insurance company specific rules.
- Coordinate with employer and/or worker compensation companies to assure complete and accurate claim submission.
- Manage Imagine denial and outstanding insurance ticklers for account balance resolution.
- File appeals/reconsideration for claims denials.
- Provides back up support to receptionist desk, as needed.
- Other duties as assigned. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Required Knowledge/Skills/Abilities:
- Proficiency using ImagineSoftware
- Proficiency using Microsoft Excel and Microsoft Word
- Strong service orientation and sense of urgency
- Critical thinking and problem solving skills
- Ability to prioritize and organize
- Ability to maintain the highest level of confidentiality
Education and Experience:
- High School Diploma or equivalent
- Minimum 2 years’ experience in insurance claims follow up and claims denial management
- Radiology billing experience preferred
Radiology of Huntsville, PC is an Equal Opportunity Employer. Radiology of Huntsville, PC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
Great Compensation and Benefit Package
Job Type: Full-time
Pay: $16.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
People with a criminal record are encouraged to apply
Work Location: In person
Salary : $16 - $20