- Job Detail
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 OVERVIEW
As part of the Revenue Cycle team, the EDI Registration Specialist will work closely with RP’s clearinghouse vendor to ensure EDI, ERA, and EFT enrollments are completed for the practices we support. In this role, the ability to navigate payor requirements to obtain new access to portals and maintain portal databases is crucial.
POSITION DUTIES AND RESPONSIBILITIES
Submits ERA enrollment tasks within payor portals
Resolves issues related to payment misrouting through discovery and research
Maintains and updates remit address changes with government and commercial payers regularly
Drafts supporting documentation for enrollments and submits for signatures
Supports with special projects related to RCM team objectives
Manages payor website logins, grants new access, deactivates access and provides password resets
Assists with maintenance of provider portal databases to ensure accurate demographics for all practices
Assists with maintenance of tracking sheets
Provides W9’s and ensure payers receive updated information as needed
Extensively follows up with payers up to the completion of enrollment
Requests pertinent information from other departments for enrollment purposes
Responds to team requests via email, phone and Service Now
Creates SOPs for teammates (ie new portals)
Transfers administrative rights for Radiology Partners from other parties
EDUCATION, EXPERIENCE, SKILLS AND ABILITIES
High school or GED preferred
3+ years or more of medical office billing, AR, claims submission or payment posting is strongly preferred
Basic knowledge of Medicare, Medicaid, BCBS, and major commercial payors highly preferred
Experience with enrollment software preferred
Knowledge of Smart sheet is a plus
Proficient use of Microsoft Office applications (Word, Excel, Outlook), internet resources as well as industry specific software
Strong interpersonal/communication skills. Ability to interact and communicate effectively with staff and contacts outside the organization.
Detail oriented and high degree of accuracy with the ability to effectively manage large amounts of detailed information as well as to research and analyze data
Strong organizational skills: ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills including letters, memos, and emails
Strong Customer Service skills
Ability to work independently with minimal supervision, to think critically and identify the global impact across the revenue cycle with a solution oriented approach
Strong Customer Service skills
Ability to work independently with minimal supervision, to think critically and identify the global impact across the revenue cycle with a solution oriented approach
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 $x-x. 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.