DESCRIPTION:

Are you a self-motivated, detail-oriented, Insurance Reimbursement Specialist in Radiology looking to join a growing company?

WHO ARE WE:

Argus Diagnostics Management Inc's Employees provide imaging services at the patient's bedside. Whether in a skilled nursing facility, hospice, or in a patient home, we bring the imaging technology to the patient in situations where a doctor has determined that a patient is unable to travel.

WHO ARE YOU:

We are looking for an engaged individual to take on the role of , Insurance Reimbursement Specialist in Radiology.

This role is responsible for undertaking the management of specific projects or cases that are assigned to them in regards to patient reimbursement.

WHAT IS THE JOB:

The Medical Biller/Insurance Reimbursement Specialist is responsible to maintain the accounts receivable for the assigned/designated insurances and Medicare.

Responsibilities:

· Evaluate, verify, and correct demographic and/or insurance information received from the facilities and/or the intake dept.

· Correct insurance information and re-bill patient charges via the daily insurance electronic edit reports.

· Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials.

· Work rejections for insurance companies regarding diagnostic and procedure code denials.

· Contact insurance companies for verification of claim status and clarification of denials.

· Work delinquent claims in regards to diagnostic and procedure code denials for insurance companies that are aged.

· Conduct necessary claim appeals to insurance companies, adhering to the appeals process of the assigned insurance company.

· File appeals if refund requests are disputable.

· Thoroughly document all actions taken on patient account in the history.

· Document, retain, and report files of all common trends of rejections for assigned insurance companies to the supervisor.

· Identify and report billing process and systems errors, including coding, date entry, payment posting to the supervisor.

· Assign charges/bills to facility in the designated billing software

· Maintains A/R averages and goals within the key performance indicators set for the Billing

· Perform other reasonably related task as assigned by Manager

· Ensures that all work is completed within established timeframes and in accordance with all applicable local, state and federal guidelines.

MUST HAVE:

· Minimum of two years of experience of medical billing and coding experience, this should include working AR/Rejections and working in radiology billing

· High school diploma or GED equivalent required

· Some college or additional experience in Medical Billing/Coding required, CPC or RCC certification preferred but will consider work experience in lieu of certification

· Experience with CPT-4, HCPCS, LCD/LMRP and ICD-9/10 billing/coding

· Excellent problem solving and analytical skills

· Strong computer skills including billing/coding systems and intermediate Excel skills

NICE TO HAVE :

Experience in MediMatrix a plus

THE HIRING PROCESS:

• Please fill out a digital application on our Job Site, be sure to let us know what days/times would be convenient for a phone call.
• If your application matches our requirements, we will give you a call to discuss the position further and answer any questions you may have.
• Before scheduling an interview, we will ask for two work references and consent to perform a background check.
• A video interview where we can discuss the job further and review compliance requirements.
• If a candidate is selected, we will send out a written Job Offer Letter via e-mail.

Benefits for full time employees Include:

• Medical
• Dental
• Vision
• Life Insurance
• Long Term Disability
• 401k with company match
• and more!