Billing Specialist

Capitol Imaging Services•Metairie, LA

About The Position

We are seeking an organized and precise Direct Billing Specialist to oversee direct-invoice and clinical trial accounts. The role is responsible for creating, verifying, and distributing direct bills, maintaining clear transaction records, and serving as a primary contact for billing and payment discrepancies. The objective is to prevent invoicing errors, submit claims and invoices promptly, resolve payment delays, and support efficient, compliant cash inflows. The specialist prepares and issues claims and invoices, verifies patient accounts, contracts, and insurance policies, processes and reconciles payments, investigates billing disputes, monitors accounts receivable, contacts customers about delinquent balances, and maintains client information in the billing database and RIS system. The position requires medical billing experience in an imaging or radiology practice, knowledge of coding and payer policies, and the ability to work independently and collaboratively while meeting high production goals.

Requirements

  • High school diploma or equivalent.
  • At least 5 years of experience as a medical biller and collector in an imaging/radiology practice.
  • At least 4 years of experience as a medical biller/collector.
  • At least 4 years of ICD-10 and CPT coding experience.
  • Working knowledge of imaging/radiology billing practices, CPT codes, and ICD-10 codes.
  • Strong knowledge of payer guidelines and reimbursement policies.
  • High proficiency with Microsoft Office, especially Excel, including basic formulas, data filtering, VLOOKUPs, and pivot tables.
  • Experience navigating Electronic Health Record (EHR) or billing systems.
  • Familiarity with data-security rules, regulatory frameworks, and protocols such as HIPAA.
  • Strong numerical and analytical skills, including identifying errors in billing records.
  • Effective written and verbal communication and interpersonal skills.
  • Ability to work independently and collaboratively, organize and multitask, meet deadlines, and solve problems.
  • Professional references required.

Nice To Haves

  • Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or a related field.
  • CPC Coder Certification.
  • Experience with Medisoft billing software.

Responsibilities

  • Prepare, review, and issue claims and invoices to direct-bill and clinical-trial payers.
  • Audit patient accounts, contracts, and insurance policies to verify billing criteria, codes, and pricing before submitting claims and invoices.
  • Receive, post, and reconcile electronic bank drafts, wire transfers, and credit-card payments to the appropriate patient accounts.
  • Investigate denied claims, underpayments, and billing disputes in collaboration with internal operational teams and payers.
  • Identify delinquent balances and contact customers by phone, email, or mail to establish payment timelines.
  • Maintain accurate client contact information in the billing database and RIS system.
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