Job Summary:
Progressive Technology is seeking a highly skilled and motivated Medical Biller specializing in Radiology to join our dynamic team. This role requires in-depth knowledge of the US healthcare system, specifically in radiology billing processes, and a commitment to ensuring accurate and timely submission of medical claims. As a Medical Biller - Radiology Specialist, you will play a critical role in facilitating the financial operations of our healthcare clients by managing billing, coding, and payment reconciliation activities.
Key Responsibilities:
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Review patient charts and medical records for radiology services provided, ensuring accuracy in coding and billing.
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Process radiology claims for submission to insurance companies, government agencies, and third-party payers.
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Follow up on denied claims, appeal claims as needed, and work with insurance providers to resolve billing issues.
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Collaborate with physicians, clinical staff, and insurance companies to ensure accurate coding and billing for services rendered.
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Maintain current knowledge of coding updates, payer requirements, and reimbursement policies in the radiology specialty.
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Resolve discrepancies in payment processing by reviewing remittance advice, posting payments, and conducting account reconciliations.
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Generate patient invoices and assist in handling patient billing inquiries, ensuring that billing procedures align with industry standards.
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Prepare and submit detailed reports related to billing, payment, and account status as required by management.
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Stay informed on changes in healthcare regulations and billing practices, ensuring compliance with applicable laws and policies.
• Required Skills and Qualifications:
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Certification in Medical Billing and Coding (CPC, CBCS, or equivalent).
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In-depth understanding of the US healthcare billing system, particularly in radiology services.
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Proficiency in ICD-10, CPT, and HCPCS coding.
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Strong knowledge of insurance payer requirements and reimbursement processes for radiology.
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Ability to manage and prioritize multiple tasks efficiently while maintaining accuracy and attention to detail.
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Excellent communication and interpersonal skills, with the ability to work collaboratively across teams and with external parties.
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Proficient in Microsoft Office Suite, with advanced Excel skills.
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Experience with medical billing software (e.g., Kareo, Epic, 3M) is a plus.
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Knowledge of HIPAA regulations and patient confidentiality standards.
• Experience:
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Minimum of 3-5 years of experience in medical billing and coding, with a focus on radiology services.
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Prior experience working in a healthcare setting, preferably in a medical billing department or radiology facility.
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Proven track record of submitting clean claims and resolving denials efficiently.
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Familiarity with payer-specific billing guidelines, coding requirements, and appeals processes.
• Working Hours:
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Full-time position with flexible working hours.
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Remote work is available, with the expectation of maintaining a high level of productivity.
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Occasional overtime may be required based on workload demands.
• Knowledge, Skills, and Abilities:
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Strong problem-solving skills, with a keen attention to detail.
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Ability to understand and interpret complex billing regulations and payer-specific rules.
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Ability to work independently and manage time effectively in a remote environment.
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Excellent customer service skills, with a focus on resolving billing issues in a timely and professional manner.
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Knowledge of healthcare reimbursement systems and payer relations, especially in radiology.
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Ability to maintain confidentiality and manage sensitive patient information in accordance with HIPAA regulations.
• Benefits:
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Competitive salary based on experience.
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Health, dental, and vision insurance.
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Paid time off (PTO) and paid holidays.
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401(k) with company matching.
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Flexible work schedule and remote work options.
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Continuing education opportunities and reimbursement for certifications.
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Employee wellness programs and mental health support.
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Professional development and career advancement opportunities.
• Why Join Us:
At Progressive Technology, we are committed to fostering a collaborative, innovative, and supportive environment where you can grow both professionally and personally. As part of our team, you will have the opportunity to work on cutting-edge healthcare projects and make a significant impact on the healthcare industry. We value our employees and prioritize their well-being and career development, offering an inclusive culture and a comprehensive benefits package.
How to Apply:
Interested candidates are invited to submit their resume and cover letter, detailing their relevant experience and qualifications, to our recruitment team. Please include Medical Biller - Radiology Specialist in the subject line of your email. We look forward to reviewing your application and discussing how you can contribute to our continued success at Progressive Technology.