Radiology AR Specialist

Jorie AI; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare technology seeks an RCM Radiology AR Specialist to manage billing processes effectively. The role requires 3+ years of medical billing experience, strong analytical and communication skills, and the ability to thrive in a collaborative remote environment. Great benefits and a flexible work culture are offered.

Benefits

401(k) matching up to 4%

Health insurance

Dental insurance

Vision insurance

Life insurance paid by employer

2 weeks PTO, increasing after the first year

10.5 Holidays

Qualifications

• 3+ years of experience in medical billing, with at least 2 years in Radiology AR Billing.
• Ability to interact positively and proactively with team members.
• Good knowledge of Medicare, Medicaid & commercial payers.

Responsibilities

• Monitor and follow up on claim status, denials, and unpaid accounts.
• Ensure claims are coded and billed accurately using ICD-10, CPT.
• Collaborate with case managers and providers for proper claim documentation.

Skills

Attention to detail

Organizational skills

Communication skills

Critical thinking skills

Knowledge of Medical Terminology

Education

Certified Professional Biller (CPB)

Tools

eClinicalWorks

Athena

Job description

Jorie AI, occupies a uniquely interconnected position at the center of the healthcare industry. An inseparable part of today's healthcare billing ecosystem, with leading edge technology that is driving transformation with our highly acclaimed AI infused Robotic Process Automation for end-to-end Revenue Cycle Management, providing practice and financial management services to the healthcare industry. Applied Intelligence, Better Insight, Accelerated Efficiencies with Jorie AI.

Our work environment:

Remote opportunities

Growth opportunities

Flexible work environment (Work-life Balance)

Cultural diversity

Collaborative, friendly, fun company culture

Great Benefits:

401(k) matching up to 4%

Health

Dental

Vision

Long/Short Term Disability insurance

Life insurance $25,000 Paid by employer

PTO 2 weeks first year and increases 2nd year

10 and half Holidays

Title: RCM Radiology AR Specialist

About the role:

The AR Billing Specialist Medical Biller is responsible for the accurate and timely billing and follow-up of AR Billing Specialist claims. This role requires in-depth knowledge of AR Billing Specialist guidelines, carrier-specific rules, and state-specific billing regulations. The biller will ensure compliance, minimize denials, and maximize reimbursement for services rendered by coordinating with payers, providers, and other RCM teams.

Location & Hours:

• USA Based – Remote Position
• Hours 8:00-4:30CST- Monday through Friday

Responsibilities:

• Prepare, review, and submit AR Billing Specialist claims to appropriate insurance carriers based on state-specific regulations and payer policies.
• Ensure claims are coded and billed accurately using ICD-10, CPT, and appropriate modifiers.
• Monitor and follow up on claim status, denials, and unpaid accounts in a timely manner.
• Review Explanation of Benefits (EOB) and Remittance Advice (RA) to ensure proper reimbursement.
• Identify and correct billing errors prior to submission to minimize rejections and denials.
• Collaborate with case managers, providers, and legal teams as needed to ensure proper claim documentation and handling.
• Maintain current knowledge of workers’ comp regulations and ensure all billing practices are compliant.
• Work with the collections and appeals team to resolve underpayments and rejections.
• Track and report on claim status, trends, and resolution metrics.

• Able to read and understand an EOB and denials at a claim level in addition to finding trends impacting the AR. Perform other duties as assigned by the Lead.
• Understand payer contracts/fee schedules to ensure the claims have been processed accordingly.
• Knowledge of online provider portals and communicating via phone with insurance
• Candidate should have good knowledge of Medicare, Medicaid & commercial payers, and their denial codes and must have knowledge of the appropriate actions that are required to be taken.
• Communicate effectively with all internal and external clients.
• Has good judgment and critical thinking skills; ability to identify and resolve problems.
• Possess a strong work ethic and a high level of professionalism with a commitment to client/patient/organization satisfaction.
• Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access, and release of information.
• Ability to interact positively and be proactive with team members, peers, and executives.

Qualifications:

• 3+ years of experience in medical billing, with at least 2 years specific to Radiology AR Billing Specialist claims.
• Knowledge of billing platforms (example: eClinicalWorks, Athena, Imagine, or similar systems).
• Strong understanding of state-specific WC rules and fee schedules.
• Familiarity with medical records and supporting documentation requirements for WC claims.
• Excellent attention to detail and organizational skills.
• Strong communication skills for interacting with internal teams and external stakeholders.
• Ability to work independently and as part of a cross-functional RCM team.
• Preferred: Certified Professional Biller (CPB) or similar certification is a plus.
• Experience with litigation support and coordination on disputed WC claims.

• Excel and technology knowledge (Required)
• Knowledge of Medicare, Medicaid & commercial payers, and their denial codes
• EMR Imagine Experience (Preferred)
• Must possess the ability to enter data quickly and accurately.
• Must have knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes
• Ability to work independently, no distractions, and prioritize monthly workflow
• Ability to multi-task in a fast-paced environment and prioritize
• Strong time management, organizational skills and discipline to work remote
• Strong verbal and written communication skills

Up to $27hrly pending upon experience