Demographic Specialist

General information

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Description & Requirements

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practice OVERVIEW

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare.Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology.Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience.Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

Position Summary

Radiology Partners is seeking a Demographic Specialist to represent Radiology Partners as a key member in handling front end billing aspects of the revenue cycle.Accurate analysis of claims before they are submitted for payment will provide customer satisfaction throughout the billing process and assure full collections for account resolution.This will provide the company with a firm foundation for growth potential and ensuring sustainability.

Position Duties and Responsibilities

• Translate/Map doctors and insurances from outside organizations to flow through the system with the appropriate doctor or insurance within the practice management system.
• Analyze incoming demographics from client interfaces and make necessary corrections.
• Enter manual patient demographic information into practice management system.
• Adjust claims in practice management system that hit system edits as needed for the release of accurate claim information.
• Update/maintain specified accounts with professional courtesy, employee health, and other special billing requests.
• Debrief claims prior to releasing to clearinghouse.
• Correct invalid and rejected claims provided by the clearinghouse.
• Coordinate work, provide support and audit tasks assigned to offshore vendor.
• Maintain regulatory compliance by staying abreast of current trends and regulations in the financial and healthcare industries.
• Promote a culture that reflects the organization’s values, encourages good performance, and enhances productivity.
• Contribute to team effort by accomplishing related results as needed.
• Perform other duties as assigned.

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

• High School diploma or General Education Degree (GED) highly preferred
• 2+ related experience and/or training or equivalent combination of education and experience
• Intermediate computer proficiency is required in this role
• Must be able to write routine correspondence and present more complex ideas effectively to others
• Ability to able to define problems, collect data, establish facts, and draw valid conclusions
• Must be able to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
• Proficiency with Microsoft Office 2013 – Excel, Word, Outlook
• Experience with Imagine – (Billing software) is a huge plus
• Availity (Clearinghouse) experience highly preferred

Radiology Partners is an equal opportunity employer.RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.

The hourly range for this position is $17.00 - $20.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements)

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-Verify.