Employment Type:Full-time (30+ hrs/week)/FULLTIME
Location City:Remote
Location State:Remote
Work Location Type:Remote
WHO WE ARE AND WHAT WE DO:
Radiology Partners, through its 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, our mission is to transform radiology by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. 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:
- Review, correct, and submit medical claims to insurance payers in accordance with payer requirements, billing regulations, and organizational standards.
- Validate patient demographics, insurance coverage, provider information, and claim data to support accurate and timely claim submission.
- Resolve claim edits, clearinghouse rejections, and payer rejections by researching requirements and correcting submission errors.
- Collaborate with internal Revenue Cycle teams and offshore vendors to resolve claim issues, maintain quality standards, and reduce rework.
- Identify recurring claim issues, support root-cause analysis, and contribute to process improvements that improve clean claim rates and reimbursement outcomes.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE:
- High school diploma or GED required, with 3+ years of experience in medical billing, claims processing, claims submission, Revenue Cycle Management, or related healthcare operations.
- Working knowledge of medical claims, insurance billing workflows, payer requirements, claim edits, and clearinghouse (PHIcure) processes.
- Experience with Medicare, Medicaid, Medicare Advantage, and commercial insurance billing requirements.
- Proficiency in Microsoft Office, particularly Excel, Word, and Outlook, and experience with healthcare billing or practice management systems.
- Strong analytical, research, problem-solving, organizational, and communication skills, with attention to detail and the ability to manage high-volume workloads; experience with Imagine, Availity, or similar systems preferred.
WHY RADIOLOGY PARTNERS:
- Competitive Benefits package - Eligibility starts the month after hire, with tiered options to choose from.
- Compensation Reviews, Career Growth Opportunities
- Flexible Remote Schedules
- Generous PTO Plans and Paid Holidays
- Proudly Certified as a Great Place to Work for Five Consecutive Years
FOR MORE INFORMATION:
Demographic SpecialistClaim Submisson Specialist JobDEMSPECOctober 2026
COMPENSATION:
The pay range for this position is $18.00-$20.00 / hr. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location, etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401(k) benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
