Billing Specialist - Radiology

Job Title: Billing Specialist - Radiology

Salary: $25-$28 per hour DOE

Location: Tustin, CA

Openings: 1

Position Purpose : The Medical Billing Specialist with Radiology experience (requires) is responsible for accurately and efficiently billing healthcare services provided by Medi-Cal, private insurance patients, Self-pay, and sliding fee. The expected number of claims processed from A to Z per day is 100+, depending on the complexity of the cases.

Core Duties and responsibilities include but are not limited to:

1. Performance:
   
   
   
   • Process 100+ claims per day (average).
   
   
   • Finish assigned projects within allocated timeframe.
   
   
   • All other duties assigned within scope.
   
   


2. Billing and Coding:
   
   
   
   • Generate and submit accurate claims to insurance companies, Medicare, Medicaid, and before timely filing.
   
   
   • Review claims, including ICD-10, CPT, and HCPCS codes for services provided.
   
   
   • Adept at utilizing clearing house to review rejections and denials.
   
   
   • Processing ERAs for corrections and resubmissions.
   
   


3. Payment Posting and Reconciliation:
   
   
   
   • Post payments, adjustments, and denials to patient accounts as needed.
   
   


4. Accounts Receivable Management:
   
   
   
   • Monitor and follow up on unpaid claims and outstanding balances with payers.
   
   
   • Identify and resolve billing issues and disputes in a timely manner.
   
   


5. Customer Service:
   
   
   
   • Respond to patient inquiries regarding billing issues, insurance coverage, and payment options.
   
   
   • Collaborate with other departments, such as patient services, medical records, etc. to resolve billing-related issues.
   
   

This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.

Education, Qualifications, and Experience:

• Associate’s degree in healthcare administration, Medical Billing, Radiology, or a related field preferred.

• Must have 3 years of billing experience working with IPA insurance and be familiar with their guidelines (Radiology experience is required).


• Basic understanding of Excel is required.


• Strong computer skills, acute attention to detail, and professional communication.


• Responsiveness to the needs of both internal/external in a professional and personable manner is expected.
  

Families Together of Orange County (FTOC) is proud to be an equal opportunity employer. FTOC does not discriminate based on race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state or federal laws.