Special Bills AR Rep

RadNet•Los Angeles, CA

18h

About The Position

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Revenue Cycle Operations, Special Bills Accounts Receivable, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. JOB SUMMARY The Special Bills Accounts Receivable Follow-Up Representative is responsible for creating client invoice billing and following up on open accounts receivable aging in order to secure reimbursement form payer for services rendered.

Requirements

Knowledge of medical terminology and a working knowledge of different types of insurance plans.
High School Diploma (college degree preferred)
General computer aptitude
Microsoft Word, PowerPoint and Excel skills (i.e. create Excel spreadsheets, create/use formulas such as v-lookups, create pivot tables, and create PowerPoint presentations).
Excellent verbal, written, and interpersonal communication skills.
Dependable, excellent attention to detail, ability to problem solve, resourcefulness, and ability to multi-task.
Recent accounts receivable experience in a medical billing environment with a working knowledge of the healthcare industry insurance/EOB/payment process.

Nice To Haves

Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
Follows OSHA regulations, RadNet and site protocols, policies and procedures.
Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.

Responsibilities

Creating monthly invoices and sending to client/payer for review and reimbursement
Creating concise spreadsheets with payer contract rates to be loaded into billing system for correct revenue recognition
Creating, running, and analyzing accounts receivable reports to identify problems on accounts, research accounts/trends, and taking appropriate actions to promote reimbursement.
Researching accounts: request additional information such as referrals, scripts, medical reports, and/ or call hospitals.
Working EOBs to post rejection codes, follow up on rejected claims, and appeal denials; develop and track written correspondence
Complete adjustments, check refund request forms and special transaction forms
Maintain patient's account information and resolve problems as needed
Ability to excel with change and respond appropriately even in challenging situations
Completing and submitting required forms to insurance companies/payers
Other duties as assigned