What are the responsibilities and job description for the PI Billing Representative position at SimonMed?
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!
ESSENTIAL FUNCTIONS:
- Works closely with the Supervisor to evaluate and rectify billing issues.
- Under the direct supervision of the Billing Supervisor
- Research systems to provide updated demographic information.
- Patient billing.
- Review accounts in billing system to verify claim handling was appropriate.
- 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.)
- Handle attorney inquiries and provide information to attorney’s regarding their client account
- Report any trending errors/issues to the Supervisor
- 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 accident, claims address and adjuster information.
- May be responsible for or assist in new employee training
- Answer patient billing questions
- Handle collections on unpaid accounts
- Duties/special projects as assigned
- Conducts special projects as assigned
- HIPAA compliant in all aspects of the positions
- Promotes HIPAA compliance
- Must be able to communicate effectively with attorneys, physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
- Demonstrates competency in the performance of job-related skills appropriate to his/her customer populations and departmental services while providing excellent customer service.
- Utilizes and operates equipment and mechanical devices which provide for a functional, effective, and safe environment.
- Adheres to policies, procedures, guidelines relative to departmental operations.
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, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!
MINIMUM QUALIFICATIONS:
Education:
- Must have High School diploma with one or more years of experience.
Experience:
- Must have knowledge of HIPAA guidelines, experience with Microsoft Word and Excel.
- Must be proficient in telephone etiquette.
- Knowledge of Medical Billing (preferred).
PHYSICAL DEMANDS: This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking.
DRESS ATTIRE: Business Casual or scrubs dependent on department
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.
