ESSENTIAL RESPONSIBILITIES

• Review and follow up on stalled, denied, and/or pending claims to identify and resolve billing, coding, and documentation issues.
• Review coder notes, clinical documentation, scanned records, and applicable system information to identify documentation needed to support accurate coding and reimbursement.
• Coordinate with physicians, referring providers, coders, and billing partners to obtain clarification, additional documentation, or physician addenda needed for claim resolution.
• Review clinical and exam information for discrepancies that may affect coding or billing and make appropriate updates within authorized systems.
• Track, attach, and update supporting documentation and physician addenda in applicable billing and claim portals.
• Monitor claim status and communicate outstanding issues to ensure timely resolution and resubmission.
• Identify recurring documentation, coding, billing, and reimbursement issues and communicate opportunities for process improvement.
• Maintain accurate records of claim resolution activities and handle confidential patient and financial information in accordance with HIPAA and organizational policies.
• Perform basic revenue cycle reporting and analysis as needed, including review of denials, accounts receivable, reimbursement trends, and other key metrics.
• Perform other related duties as assigned.

KNOWLEDGE & SKILLS

• Knowledge of healthcare billing, coding, claims, reimbursement, and clinical documentation.
• Experience with EHR, practice management, billing, or physician portal systems.
• Strong attention to detail and ability to identify documentation and claim discrepancies.
• Excellent communication skills and ability to effectively work with physicians, coders, and billing personnel.
• Proficiency with Microsoft Office, particularly Excel.
• Ability to work independently, manage priorities, and maintain confidentiality in a remote environment.

EDUCATION & EXPERIENCE

• Bachelor’s degree in healthcare administration, Business Administration, Finance, Accounting, Health Information Management, or a related field preferred.
• 2–5 years of experience in healthcare revenue cycle, medical billing, finance, or healthcare analytics.

WORK ENVIRONMENT

The employee will perform duties from a home office or other approved remote location and will routinely use electronic health records, billing systems, physician portals, email, Microsoft Teams, and other technology to communicate and complete assigned responsibilities.

Radiology Associates of Hartford is an equal opportunity employer