Medical Billing Insurance Specialist

Medical Billing Insurance Specialist Delaney Radiology - 3.6 Wilmington, NC Job Details Full-time 1 day ago Benefits Paid holidays Health insurance Dental insurance 401(k) Paid time off Life insurance Qualifications Insurance verification HIPAA Attention to detail Medical billing Medical terminology Full Job Description Are you looking for a new opportunity in the medical field? Delaney Radiology is seeking an experienced and detail-oriented Insurance Specialist to join our team!

Position Overview:

The Insurance Specialist is responsible for ensuring that radiologic services are billed accurately and in accordance with insurance guidelines. This role involves following up on unpaid, denied, or underpaid claims by contacting insurance companies, providing necessary documentation, and escalating issues when needed. Candidates are required to report to the office during the initial training period, but the position may become remote once training is complete. •Previous experience with claim denial follow-up is required.•

Key Responsibilities:

Initiate and complete appropriate actions for Insurance, Denials, Reviews, and other daily tasks to ensure timely follow-up on claims and issues. Work EEM in Availity daily and make the necessary corrections in Imagine. Contact insurance payers via phone or online inquiries regarding unpaid or denied claims Report ongoing payer issues and significant concerns to your Team Lead for further action. Utilize online resources to verify eligibility and check claim status before filing or rebilling. Write and submit appeals for denied claims, including providing the necessary supporting documentation, and ensure that the appeal is appropriately scanned to the patient's account. Answer phone inquiries from patients and insurance companies regarding bills, charges, and account status Resolve issues that delay timely claim payments, including requests for medical records. Ensure compliance with all contracted insurance policies and payer guidelines, including reviewing explanations of benefits (EOBs) and ensuring claims are processed in accordance with contract terms. Stay updated on changes in payer policies, time limits, fee schedules, and other relevant information by regularly reviewing insurance websites, newsletters, and communications. Review refund letters as assigned. Perform additional assigned duties as needed.

Position Requirements:

A minimum of 1 year of experience in medical billing is required, with a preference for experience in radiology. Experience with Imagine Software is highly preferred. The ability to work quickly and efficiently in a fast-paced, high-volume billing office. Knowledge of HIPAA, medical terminology, and medical insurance required. Must possess strong communication skills, empathy, and patience Attention to detail and accuracy are essential, along with a commitment to confidentiality. When you join the Delaney team, you will be eligible for an attractive compensation/benefits package that includes: Company-paid Medical and Dental Insurance Generous Paid Time Off Paid Holidays 401(k) And much more!

About Us:

Delaney Radiology is the leading imaging group in Southeastern North Carolina. Our team is comprised of over 40 radiologists and a dedicated group of physician assistants, radiologic technologists, and professional support staff. With state-of-the-art equipment and a team of passionate professionals, we strive to make a meaningful difference in the lives of those we serve. Thank you for considering Delaney Radiology for your next career opportunity! Delaney Radiology is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, color, religion, national origin, age, disability, veteran status, or any other reason prohibited under Federal, State, or local laws.

Note:

This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned by their supervisor.

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Application Question(s): What are your salary requirements?

Experience:

Medical billing: 1 year (Required)

Work Location:

Hybrid remote in Wilmington, NC 28401