JOB TITLE:  Part Time Per Diem Medical Collections Representative
REPORTS TO:  Team Supervisor

This is a part time special project position that will work in collaboration with other teams, related to aged insurance AR clean up.

DUTIES & RESPONSIBILITIES INCLUDE:

• Work from excel spreadsheets as well as work queues of assigned accounts.
• Review claims for accuracy and correct errors as needed.
• Update demographic and coverage information as needed.
• Resolve claims processing issues with insurance payers.
• Provide documentation to have claims processed and paid. Research, prepare, and provide payer appeals.
• Request account adjustments in accordance with payer contractual agreements.
• Document all actions taken on account with clear and concise account notes.
• Identify trends, denial / claim errors by payer and refer as appropriate.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

EDUCATION & EXPERIENCE:

• Previous experience in medical insurance AR follow-up.
• Excellent attention to detail, good organizational skills, ability to meet priorities within set timeframes, and ability to work as part of a team.
• Familiar with different insurance payers such as government, commercial, Medicare, Workers Compensation and Auto insurance.
• Imagine billing software preferred, but not required.
• Problem solving.
• High School diploma or GED.
• Excellent customer service communication.
• Strong oral and written communication skills.
• Working knowledge of Microsoft Office.
• Strong attention to detail.
• Ability to follow instruction and adhere to company policies and procedures.
• Must be a team player.
• Problem solving and analytical skills.

PHYSICAL REQUIREMENTS:

• Prolonged periods of sitting at a desk and working on a computer.
• Repeating motions that may include the wrists, hands and/or fingers.
• Communicating with others to exchange information.

TO SUBMIT A RESUME, PLEASE USE THE FORM BELOW:

JOB TITLE:  Medical Billing Specialist

An established RCM company is seeking an experienced Medical Billing Specialist to provide revenue cycle management services for independent physicians and group practices. 

RESPONSIBILITIES INCLUDE:
• Maintenance of data files received from client in an organized fashion.
• Submission and verification of electronic insurance claims.
• Editing of electronic insurance claim denials for resubmission.
• Production and mailing of paper claims w/ necessary attachments.
• Processing of appeals to facilitate claim denials.
• Production and mailing of secondary claims with EOBs attached.
• Production and review of electronic patient statements.
• Coordination of patient account collection agency activity.
• Posting and balancing of payments received.
• Processing of patient and insurance refunds.
• Processing of returned patients checks.
• Working the aged accounts receivable report to follow up on past due claims.
• Production of end-of-month financial reports for managerial review.
• Production of specialty requested reports as needed.
• Assisting clients with credentialing issues and fee schedule renegotiation.
• Providing coding guidance as needed (CPCs on staff)
• Providing telephone/email support for physicians and patients as needed.

JOB REQUIREMENTS:
• Must have two years of applied experience in billing, health care field preferred.
• Knowledge of Medicare, Medicaid and Private Insurance billing regulations preferred.
• Strong computing and software skills (PC, MS Word, Excel, Outlook)
• Solid written and verbal communication skills.
• Knowledge of ChartMaker Practice Manager software a plus.

TO SUBMIT A RESUME, PLEASE USE THE FORM BELOW:

JOB TITLE: Radiology Account Manager
REPORTS TO: Team Supervisor

POSITION SUMMARY:

The Radiology Medical Biller primary duty is to oversee and maintain general financial health of the assigned client(s) account. This may include but will not be limited to: client interaction, clearinghouse rejections, payment posting, denial management, patient billing, patient calls, refunds, and account receivable follow up.
 
RESPONSIBILITIES INCLUDE:

• Function as primary liaison between STI RCM and assigned client(s). Build team relationships with physicians, practice administrators, and office staff. Strive to address issues with these parties before they are escalated to management.
• Maintain client specific billing guidelines.
• Monitor clearinghouse reports for claim confirmation and acceptance.
• Work all rejected claims received via the clearinghouse.
• Post insurance and patient payments.
• Follow-up on denials and outstanding Accounts Receivables.
• Handle patient, insurance, and client inquiries.
• Research patient and insurance overpayments/refunds.
• Ensure all billing completed timely for month end processing.
• Provide courteous and professional customer service to clients, patients, insurance companies and/or third parties.
• Assist with billing system maintenance, as required.
• Follow company policies, procedures and protocol, report compliance issues.
• Adhere to all HIPAA regulations by keeping patient information confidential and protected.
• Participate in educational opportunities.
• Follow client specific workflow schedules.
• Perform duties in a timely manner, as required by client and company.
• STI advocate at all times.
• Other duties, as assigned.

 
JOB REQUIREMENTS:

• High School diploma or GED required.
• Intermediate to advanced radiology billing knowledge.
• 3-5 years’ experience in radiology medical billing/collection practices and customer service.
• PC literate, including Microsoft 365 products.
• Understanding of payment application processes.
• Ability to follow instructions and adhere to company policies and procedures.
• Must be a team player and willing to learn and take on new responsibilities.
• Problem solving and analytical skills.
• Strong oral and written communication skills.
• Accounting knowledge.
• Flexible, adaptable and able to work in dynamic, fast-paced environment managing multiple tasks.
• Independent, strategic thinker with highly developed analytical and critical thinking abilities
• Ability to work with and maintain sensitive and confidential information required.

PHYSICAL REQUIREMENTS:

• Prolonged periods of sitting at a desk and working on a computer.
• Repeating motions that may include the wrists, hands and/or fingers.
• Communicating with others to exchange information.

TO SUBMIT A RESUME, PLEASE USE THE FORM BELOW: