Position Summary
The Accounts Receivable / Billing Specialist is responsible for processing and reconciling all Imaging Network payments and supporting the full revenue cycle for radiology services. This role handles insurance payment posting, denial management, account reconciliation, and patient account inquiries while ensuring accuracy, compliance, and timely follow-up on all A/R activity.
Key Responsibilities Accounts Receivable (A/R) Posting & Reconciliation
- Process daily insurance payments, deposits, EFTs, and ERA remittances
- Post insurance reimbursements (manual and electronic) to patient accounts
- Review Explanation of Benefits (EOBs), checks, and remittance advice for accuracy
- Balance daily deposits and maintain detailed A/R posting records
- Identify underpayments, overpayments, and unprocessed claims for follow-up
- Process and return overpayments in accordance with policy
- Maintain accurate documentation of all payment activity in Excel and billing systems
- Assist with reconciliation of all incoming payment transactions
Denials & Insurance Follow-Up
- Research and resolve claim denials, rejections, and unpaid claims
- Communicate with insurance payers to correct and resubmit claims
- Identify root causes of claim issues and assist with corrective action
- Escalate recurring issues to management for training or process improvement
- Support resolution of billing discrepancies and account errors
Account Review & Billing Accuracy
- Review and edit demographic and charge data from RIS and billing systems
- Ensure correct CPT and diagnosis coding based on payer requirements
- Identify and correct errors such as missing authorizations, coding issues, or documentation mismatches
- Monitor for recurring billing issues and ensure proper resolution
- Support internal audits and billing compliance reviews
Patient Account Support
- Respond to patient inquiries regarding billing and insurance payments
- Assist with patient account collections follow-up as needed
- Provide clear communication regarding balances, adjustments, and claim status
Systems & Tools Used
- Waystar clearinghouse
- Medinformatix Practice Management System
- Royal Solutions Patient Engagement tools
- ERA/EFT processing systems
- Microsoft Excel, Word, and other reporting tools
QualificationsRequired
- High school diploma or GED
- 3–5 years of experience in medical billing or accounts receivable (radiology or healthcare preferred)
- Strong knowledge of insurance billing processes and reimbursement workflows
- Proficiency with computer systems and data entry accuracy
- Experience working with billing or practice management systems
Preferred
- Associate degree in Business, Healthcare Administration, or related field
- Experience with radiology billing and multiple payer types (Medicare, Medicaid, Commercial, Workers’ Comp)
- Familiarity with denial management and revenue cycle workflows
Skills & Abilities
- Strong attention to detail and accuracy in financial data
- Ability to analyze billing issues and resolve complex account problems
- Excellent organizational and time management skills
- Ability to work independently and meet deadlines
- Strong communication skills (written and verbal)
- Ability to collaborate with staff, patients, and insurance representatives
- Proficiency in Excel and reporting tools
Work Environment & Physical Requirements
- Primarily sedentary role with extended periods of computer and phone use
- Standard office environment within a healthcare setting
- Occasional exposure to standard healthcare-related occupational risks
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- What is your desired hourly rate?
Work Location: In person
