Job Summary:
Progressive Technology is seeking a highly skilled and motivated Medical Biller specializing in Radiology to join our dynamic team. This role requires in-depth knowledge of the US healthcare system, specifically in radiology billing processes, and a commitment to ensuring accurate and timely submission of medical claims. As a Medical Biller - Radiology Specialist, you will play a critical role in facilitating the financial operations of our healthcare clients by managing billing, coding, and payment reconciliation activities.

Key Responsibilities:

• Review patient charts and medical records for radiology services provided, ensuring accuracy in coding and billing.

• Process radiology claims for submission to insurance companies, government agencies, and third-party payers.

• Follow up on denied claims, appeal claims as needed, and work with insurance providers to resolve billing issues.

• Collaborate with physicians, clinical staff, and insurance companies to ensure accurate coding and billing for services rendered.

• Maintain current knowledge of coding updates, payer requirements, and reimbursement policies in the radiology specialty.

• Resolve discrepancies in payment processing by reviewing remittance advice, posting payments, and conducting account reconciliations.

• Generate patient invoices and assist in handling patient billing inquiries, ensuring that billing procedures align with industry standards.

• Prepare and submit detailed reports related to billing, payment, and account status as required by management.

• Stay informed on changes in healthcare regulations and billing practices, ensuring compliance with applicable laws and policies.

Required Skills and Qualifications:

• Certification in Medical Billing and Coding (CPC, CBCS, or equivalent).

• In-depth understanding of the US healthcare billing system, particularly in radiology services.

• Proficiency in ICD-10, CPT, and HCPCS coding.

• Strong knowledge of insurance payer requirements and reimbursement processes for radiology.

• Ability to manage and prioritize multiple tasks efficiently while maintaining accuracy and attention to detail.

• Excellent communication and interpersonal skills, with the ability to work collaboratively across teams and with external parties.

• Proficient in Microsoft Office Suite, with advanced Excel skills.

• Experience with medical billing software (e.g., Kareo, Epic, 3M) is a plus.

• Knowledge of HIPAA regulations and patient confidentiality standards.

Experience:

• Minimum of 3-5 years of experience in medical billing and coding, with a focus on radiology services.

• Prior experience working in a healthcare setting, preferably in a medical billing department or radiology facility.

• Proven track record of submitting clean claims and resolving denials efficiently.

• Familiarity with payer-specific billing guidelines, coding requirements, and appeals processes.

Working Hours:

• Full-time position with flexible working hours.

• Remote work is available, with the expectation of maintaining a high level of productivity.

• Occasional overtime may be required based on workload demands.

Knowledge, Skills, and Abilities:

• Strong problem-solving skills, with a keen attention to detail.

• Ability to understand and interpret complex billing regulations and payer-specific rules.

• Ability to work independently and manage time effectively in a remote environment.

• Excellent customer service skills, with a focus on resolving billing issues in a timely and professional manner.

• Knowledge of healthcare reimbursement systems and payer relations, especially in radiology.

• Ability to maintain confidentiality and manage sensitive patient information in accordance with HIPAA regulations.

Benefits:

• Competitive salary based on experience.

• Health, dental, and vision insurance.

• Paid time off (PTO) and paid holidays.

• 401(k) with company matching.

• Flexible work schedule and remote work options.

• Continuing education opportunities and reimbursement for certifications.

• Employee wellness programs and mental health support.

• Professional development and career advancement opportunities.

Why Join Us:
At Progressive Technology, we are committed to fostering a collaborative, innovative, and supportive environment where you can grow both professionally and personally. As part of our team, you  will have the opportunity to work on cutting-edge healthcare projects and make a significant impact on the healthcare industry. We value our employees and prioritize their well-being and career development, offering an inclusive culture and a comprehensive benefits package.

How to Apply:
Interested candidates are invited to submit their resume and cover letter, detailing their relevant experience and qualifications, to our recruitment team. Please include Medical Biller - Radiology Specialist in the subject line of your email. We look forward to reviewing your application and discussing how you can contribute to our continued success at Progressive Technology.