- Job Detail
practice OVERVIEW
Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
POSITION SUMMARY
Radiology Partners is seeking a Patient Account Representative who will focus on reviewing remittance advice forms to verify proper reimbursement to make adjustments and prepare/submit appeals as required. Verifying that records for patients include all information required for proper reimbursement. Teammate will be responsible for handling billing and collections, denials, appeals, checking claim status, and following up with insurance payors.
POSITION DUTIES AND RESPONSIBILITIES
- Responsible for all aspects of account follow up and collections, including processing appeals
- Reviews explanation of benefits (EOBs) to ensure proper reimbursement of claims and reports any problems, issues, or payer trends
- Ability to analyze accounts and determine next appropriate action for account resolution
- Ability to identify, resolve and escalate trends to ensure timely payment
- Collaborates with management to reduce aging of accounts by providing verbal and written communication
- Works with payers to determine reasons for denials, corrects and reprocesses claims for reimbursement in a timely manner
- Accurately and thoroughly documents the pertinent collection activities in appropriate system
- Maintains HIPPA patient confidentiality standards for medical and financial information
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
- High school or GED preferred
- 3+ years physician billing and collections experience highly preferred
- In depth knowledge of Medicare, Medicaid, commercial payer reimbursement policies and procedures
- Excellent communication and problem-solving skills
- Ability to work in a collaborative team environment as well as independently
- Ability to be well organized, detail-oriented, in a fast-paced environment
- Ability to think critically and identify the impact across the revenue cycle with a solution-oriented approach
- Ability to analyze data in various situations to develop a range of simple and complex solutions to increase revenue reimbursement and address payor behavior to reduce denials
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
The hourly range for this position is $18.00 - $21.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements)
CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.
Radiology Partners participates in E-verify.