Jorie AI

Benefits:

• 401(k) matching up to 4%

• Health

• Dental

• Vision

• Long/Short Term Disability insurance

Experience Requirements:

• Hospital Radiology AR and Medical Billing Experience 3+ years

• EMR Imagine Experience required

• Excel and technology knowledge

Other Requirements:

• Must be authorized to work in the United States without any sponsorship

• Must possess the ability to enter data quickly and accurately

• Must have knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes

• Ability to work independently with no distractions

• Ability to multi-task in a fast-paced environment and prioritization skills required to ensure efficiency

• Strong time management, organizational skills and discipline to work remote

• Strong verbal and written communication skills

Responsibilities:

• Review outstanding Radiology insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients, and clients when appropriate

• Analyze the trend data, recommending solutions to improve first-pass denial rates and reduce the age of overall AR. Working with Imagine.

• In-depth working knowledge of the various applications associated with the workflows i.e., Microsoft Office and Google Tools and more. Ensure all workflow items are completed within the set TAT within quality expectations.

• Able to read and understand an EOB and denials at a claim level in addition to finding trends impacting the AR. Perform other duties as assigned by the Lead.

• Understand payer contracts/fee schedules to ensure the claims have been processed accordingly.

Benefits:

• 401(k) matching up to 4%

• Health

• Dental

• Vision

• Long/Short Term Disability insurance

Experience Requirements:

• High school diploma or equivalency

• Relevant certifications such as Certified Revenue Cycle Professional (CRCP), (CPC or CPB) or similar preferred

• Minimum of 4 years of experience in healthcare revenue cycle management, billing, coding, or related fields

• Minimum of 1 year experience in auditing, quality assurance, and process improvement within the healthcare revenue cycle

• Strong knowledge of healthcare coding (ICD-10, CPT, HCPCS), billing, and payer policies

Other Requirements:

• Excellent analytical, problem-solving, and organizational skills

• High attention to detail and a commitment to accuracy and quality

• Effective communication skills, both written and verbal, with the ability to present findings and make recommendations to various stakeholders

• Ability to work independently, manage multiple tasks, and meet deadlines in a demanding environment

• Familiarity with HIPAA compliance, Medicare, Medicaid, and private payer requirements

• Understanding of current healthcare regulations, payer-specific rules, and coding guidelines

Responsibilities:

• Revenue Cycle Audits & Monitoring: Conduct regular audits across various stages of the revenue cycle, including patient registration, insurance verification, coding, charge capture, billing, and collections. Ensure accurate and timely data entry and documentation.

• Compliance & Regulatory Oversight: Ensure that all revenue cycle activities comply with federal, state, and payer-specific regulations, including HIPAA, CMS, and payer guidelines. Stay up to date with changes in healthcare laws, coding updates, and payer requirements.

• Process Improvement: Identify and recommend improvements to revenue cycle processes based on audit findings. Collaborate with key stakeholders to streamline workflows and improve operational efficiency and accuracy.

• Reporting & Documentation: Prepare detailed reports on audit findings and trends. Document process discrepancies and work with the appropriate departments to address and resolve issues in a timely manner.

• Team Support: Provide recommendation and minimal guidance on best practices, compliance issues, and process improvements.