This position is in Warwick, RI Monday- Friday 8:30 AM- 5:00 PM.
Under the general supervision of the Billing Supervisor, this position is responsible for the billing and collection of selected claims for Rhode Island Medical Imaging. This position serves as a “lead” position and acts as a resource to all staff within the department. The position is a key component of the cash flow for the institution.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Consistently applies the corporate values of respect, honesty, fairness and constant pursuit of excellence in improving the health status for the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a diagnostic imaging company.
Understands all elements associated with completing the HCFA 1500 billing form for the selected payor(s) he/she is responsible for. Understands and resources billing guidelines for each of his/her payor responsibilities and keeps abreast of related changes.
Recommends modifications to RIMI’s billing system based on knowledge of billing guidelines.
Is familiar with CPT codes, HCPC codes and ICD-9 codes. Uses department and payor resources to ensure billing is accurate and complete.
Completes billing and collection duties in a timely and accurate fashion.
Takes initiative relative to duties, pointing out possible issues or concerns to the Supervisor and/or Director.
Ability to adapt, in a timely manner, to changes in billing/collecting rules as defined by insurance companies and/or Management.
Ensures all claims are in compliance with the respective carrier rules, as well as, HIPAA and federal compliance regulations.
Reviews monthly accounts receivable aging report(s) for assigned payor class and takes action to resolve outstanding accounts in a timely fashion.
Ability to work in a team environment, including cross training and filling in for other team members when directed by the Supervisor and/or Director.
Enlists the help of the Supervisor on an as needed basis to ensure accounts remain collectable.
Keeps current with all insurance changes regarding policy and coverage guidelines.
Assists patients with questions regarding their bills in an efficient and professional manner.
Maintains a professional manner at all times.
Updates the computer system accordingly.
Acts as a resource to all staff.
Trains new staff on Group Cast and telephones as assigned and retrains existing staff as assigned.
Provides input into evaluations of staff as requested.
Maintains confidentiality of staff related issues at all times.
Performs special projects as assigned in an accurate and timely manner.
Participates in meetings on an as requested basis.
Send electronic claims, retrieve electronic remittances and post electronic remittances where applicable.
Retrieve Hospital interfaces and review translation reports.
Work closely with the IT department on technical problems and diagnosing Goupcast issues.
Performs other duties as assigned.
Ability to operate modern office machinery; to enter and retrieve information via the PC. Must have knowledge of third party billing requirements. Excellent telephone and interpersonal skills are essential. Must be able to handle and prioritize work load and work as a team member.
High school graduate. Post high school courses in insurance billing, computer basics and medical terminology preferred.
At least two years of third party billing experience preferred.
About Rhode Island Medical Imaging:
Rhode Island Medical Imaging (RIMI) has a network of 12 private state-of-the-art medical diagnostic imaging facilities that are staffed by over 70 board certified radiologists with broad-based experience and subspecialty training in Bone Densitometry (DEXA), Computed Tomography (CT), Magnetic Resonance Imaging (MRI) including the most extensive 3T MRI imaging network in Rhode Island, Mammography, Ultrasound, and X-ray.
RIMI radiologists perform and interpret imaging in Rhode Island at Hasbro Children’s Hospital, Miriam Hospital, Our Lady of Fatima Hospital, Rhode Island Hospital, Roger Williams Medical Center, and Women & Infants Hospital, and most recently at Sturdy Memorial Hospital in Attleboro, MA. Most of RIMI’s radiologists are also faculty members at the Warren Alpert Medical School at Brown University.
For over 75 years RIMI has provided Rhode Island with imaging excellence (since 1943).
*** Benefits offered include medical, dental, vision, life and disability insurance; AFLAC; paid vacation, sick and holidays; 401K and retirement plan.
Please submit resumes to Jennifer Voyer at firstname.lastname@example.org.