Valley Radiology Hiring for Accounts Receivable Denial and Appeals Specialist Job at Remote Full Time

Title

Accounts Receivable Denial & Appeals Specialist

Location:

Remote

Reports to:

Billing Manager

JOB SUMMARY

Valley Radiology is seeking a full-time remote individual to focus on review and resolution of radiology related denials in a fast paced, high volume environment. This position will be responsible for project work to include reviewing account information for accuracy, interpreting denials from third party payors and filing appropriate appeals.

POSITION DUTIES & RESPONSIBILITIES

• All aspects of account follow up and processing appeals on delegated work in a timely manner
• Ability to analyze and identify next appropriate action for claim resolution
• Interact with third party payors via phone and web-based applications to determine cause of denials and what is required to rectify the issue
• Review EOBs for appropriate payment and report any discrepancies
• Accurately and thoroughly notate all actions performed in appropriate systems
• Review EMRs for pertinent information necessary for appeals
• Escalate/Report denial trends to Billing Manager
• Maintain HIPPA patient confidentiality standards for medical and financial information
• Occasionally interact with patients as needed

QUALIFICATIONS

• High school diploma or general education degree (GED)
• Three years radiology specific physician billing and collection experience required
• In depth knowledge of Medicare, Medicaid and other third party payer policies and guidelines
• Well organized and able to work independently
• Ability to think critically and understand impacts to revenue cycle
• Solution oriented
• Strong communication skills
• EPIC experience preferred
• RCC Certification a plus

Job Type: Full-time

Pay: $16.00 – $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

COVID-19 considerations:
Not applicable

Experience:

• ICD-10: 3 years (Preferred)
• Radiology Billing: 3 years (Required)

Work Location: Remote