Insurance Reimbursement Specialist

: Description:

Who we are: Advanced Radiology Services is one of the largest 100% physician-owned and managed radiology practices in the country. Our growing practice includes 214 radiologists, 44 advanced practice providers, and over 200 employees providing administrative support in our wholly owned subsidiary STARS. We value diversity on our team and promote a culture of inclusion.

What we are looking for: The Medical Biller / Insurance Reimbursement Specialist is responsible for working rejected claims from all insurances regarding diagnostic or procedural code denials. Maintain the accounts receivable for the assigned/designated insurances. This position has the option to work remotely after in-office training.

Responsibilities:

• 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

What's great about working for STARS?

• Important Work -Because of the great behind the scenes work that you do- our company can provide outstanding radiology services to so many patients in Michigan.
• Stability- This practice has gone through significant growth and is here to stay.
• Work/Life Balance/Flexibility - Many of our positions work from home or in a hybrid schedule!
• Outstanding Benefits - We have a 7.5% 401k contribution! (wait it's not even a match?)
• Culture - It's built on transparency, support and recognition! We call out good work.
• Click here to learn more from our employees : Scroll to STARS Employee Survey Feedback 2022

Requirements:

• Minimum of two years of experience of medical billing and coding experience, this should include working AR/Rejections and working with Workers Comp, Auto; Priority Health, BCBS, Medicaid denials is a plus
• 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
• Thorough knowledge of anatomy, medical terminology, ICD-10, CPT and modifier codes
• Excellent problem solving and analytical skills
• Strong computer skills including billing/coding systems and intermediate Excel skills