PI Billing Representative II

SimonMed Imaging; Scottsdale (AZ); Remote; USD 40,000 - 55,000; Full time

Job summary

SimonMed Imaging, a leading outpatient radiology practice, is looking for a PI Billing Representative II. In this role, you will handle billing issues while working remotely, ensuring accuracy in claim processing and compliance with HIPAA guidelines. Candidates should have experience in medical billing and a high school diploma, with opportunities for growth within the company.

Benefits

Medical insurance

Vision insurance

Dental insurance

401(k) eligibility

Paid holidays and PTO

Sick Time

Qualifications

• 2+ years of experience in full RCM.
• Knowledge of HIPAA guidelines.
• Intermediate knowledge of Medical Billing and insurance follow-up.

Responsibilities

• Research systems to provide updated demographic information.
• Review accounts to verify proper claim handling.
• Follow up with insurance adjusters for bill status.

Skills

HIPAA guidelines

Microsoft Word

Microsoft Excel

Medical Billing

Education

High School diploma

Job description

Join the fastest growing outpatient radiology practice in the Nation - SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can’t wait to meet you!

LOCATION: Remote

As a PI Billing Representative II , you willwork closely with the PI Billing AR Specialist I Team Lead, and Supervisor to spot trends evaluate and rectify billing issues.

ESSENTIAL FUNCTIONS:

• Research systems to provide updated demographic information
• Review accounts in the billing system to verify claim handling was appropriate
• Update claims and reprocess as necessary
• Review and update posted adjustments as necessary
• Review EOB for accuracy of payment posting
• Locate and post checks that have not been posted to the system
• Ability to delegate work to other team members and departments as necessary
• Follow up with auto insurance adjusters for bill status
• Research patient inquiries and provide information to AR Specialist, Team Lead or Supervisor regarding the handling of accounts
• Assist with escalations from Customer Service Representative, PI Billing Representative I when necessary, and level II escalations for CSR and PIBR I
• Report any trending errors/issues to the Team Lead or Supervisor
• Follow up meetings as needed with Management Team
• Follow up with insurances and/or attorneys on claims balances
• Handle attorney inquiries and provide information to attorney’s regarding their client account
• May be responsible for or assist in new employee training
• Duties/special projects as assigned
• HIPAA compliant in all aspects of the positions
• Minimum 50 accounts worked per day
• Promotes HIPAA compliance
• Demonstrates competency in the performance of job-related skills appropriate to his/her customer populations and departmental services while providing excellent customer service.
• Utilizes and operates equipment and mechanical devices which provide for a functional, effective, and safe environment.
• Adheres to policies, procedures, guidelines relative to departmental operations.

OTHER DUTIES:Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time or without notice.

BENEFITS: Your health, happiness and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!

MINIMUM QUALIFICATIONS:

Education:

• Must have High School diploma

Experience:

• 2 or more years of experience in full RCM
• Must have knowledge of HIPAA guidelines
• Experience with Microsoft Word and Excel
• Intermediate knowledge of Medical Billing and insurance follow-up and collections

PHYSICAL DEMANDS:

This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking.

DRESS ATTIRE:Business Casual

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.