Medical Claims Processor ($30/hour) Full Time NEW

Our Company

Inspire Radiology is a forward-thinking, rapidly growing radiology practice comprised of compassionate individuals who strive to revolutionize radiology services through our unwavering commitment to excellence. Our radiologists and clinicians provide onsite and teleradiology services to hospitals and other health care teams around the nation and are supported by a collaborative, positive, and purpose-driven administrative team. At Inspire Radiology, you’ll do real work that matters to the success of the organization, and you’ll add value every day.

About the Job

We are seeking a detail-oriented Medical Claims Processor (radiology experience highly desired) to help with project work, up to 40 hours per week at an hourly rate of $30/per hour. This is a remote position and offers an opportunity to work in a dynamic healthcare environment and be an integral part of our Revenue Cycle team. This is for a contractor role (no benefits) & time duration is approximately 3-6 months, and you must have stable, high-speed internet. In this role, you will assist with insurance claims, payments, and invoices, and process high volumes of data. The ideal contractor has a strong knowledge of medical claim entry processing, exceptional organizational skills, and a keen eye for accuracy. This is a remote position, offering flexibility and the opportunity to contribute to our mission from anywhere.

Key Duties & Responsibilities

· Reviewing and processing medical claims to ensure accuracy and compliance with insurance policies.

· Verifying patient eligibility, benefits, and medical necessity by collaborating with healthcare providers and insurers.

· Investigating and resolving discrepancies or issues related to claims, including denials and rejections.

· Working with the clean claims process, limited errors for rejections.

· Maintaining accurate and organized records of processed claims and communications.

· Entering claims data into the processing system and evaluating claims for payment eligibility.

· Communicating with healthcare providers and patients regarding claims statuses and resolving any discrepancies.

· Ensuring timely processing of claims to meet deadlines and maintaining industry regulations and changes related to claims processing

Skills & Qualifications

·      High School Diploma, GED or equivalent (required), or Bachelor’s (preferred).

·      5-7 years of medical claims payment experience (required) in radiology (highly desired)

·      Previously worked in software RXNT – (strongly preferred) 

·      Understanding primary code classifications: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS

·      Familiarity with insurance procedures and regulations.

·      Exceptional attention to detail and accuracy in data entry and billing procedures.

·      Excellent communication skills, both verbal and written, with the ability to interact professionally with patients, insurance companies, and internal staff.

Physical Requirements:

· Ability to work independently and prioritize tasks in a fast-paced environment.

· Ability to sit or stand for extended periods

· Ability to use safe body mechanics and safe lifting while working remotely

· Ability to convey complex information clearly and concisely.

· Ability to work on computer monitors/screens for extended periods

Our Culture

We believe that the best outcomes are achieved through collaboration and interdisciplinary teamwork. Whether you’re a seasoned professional or a fresh graduate, you’ll find a network of colleagues ready to assist and guide you. We promote a nurturing environment where we can learn from one another, share knowledge, and grow together.

We also prioritize the well-being and work-life balance of our team, recognizing that these aspects contribute to overall job satisfaction and long-term success. We strive to create a flexible and supportive work environment that allows you to excel in your professional endeavors while enjoying a fulfilling personal life.

Equal Employment

Inspire Radiology is proud to be an Equal Employment Opportunity employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.