<b>Location: </b> REMOTE<br><b>Salary: </b> $80,000.00 USD Annually - $100,000.00 USD Annually<br><b>Description: </b> Our client is currently seeking a full-time and <b>100% Remote Radiology Imaging Claims Specialist</b> to join their team located in <b>Nashville, TN</b>. If qualified and interested, please don't hesitate to apply. I look forward to connecting with you!<ul> </ul><br><b>Job Description:</b> <br><br>We are seeking an individual with expertise in radiology imaging, specifically in the coverage and reimbursement of diagnostic imaging procedures. The ideal candidate will have recent experience working for a health plan or payer and will be comfortable with technology, claim editing, and analyzing imaging medical policies.<br><br><b>Key Responsibilities:</b><br><br>Radiology Claims Management: Handle claims related to radiology imaging procedures, ensuring accuracy and compliance with health plan policies.<br><br>Policy Analysis: Analyze and interpret medical policies at health plans to ensure proper coverage and reimbursement.<br><br>Claim Editing: Review and edit claims to correct any errors and ensure they meet policy requirements.<br><br>Data Management: Utilize spreadsheets and other tools to manage and analyze claims data.<br><br>Collaboration: Work with a large team, including employer groups and revenue cycle management (Evacore), to create and implement effective claims processes.<br><br>Technology Integration: Leverage advanced technology to support claims processing and payment accuracy.<br><br><b>Qualifications:</b><br><br>Knowledge and experience in radiology imaging and diagnostic procedures. Knowledge of Medical Coding, CPT, ICD10 and Revenue Cycle Management.<br><br>Familiarity with health plan policies and reimbursement processes.<br><br>Strong technical skills and comfort with using spreadsheets and other data management tools.<br><br>Self-motivated and able to work independently in a remote setting.<br><br>Experience with claim editing and revenue cycle management.<br><br>Ability to work collaboratively with a large team and various stakeholders.<br><br><b>Additional Information:</b><br><br>This is a permanent, remote position with no time zone restrictions.<br><br>The company hosts two annual get-togethers in Tennessee (January and June).<br><br>We have officially started looking for this position recently and are eager to find the right fit for our team<br><br><b>Contact:</b> jnachman@judge.com<br><br>This job and many more are available through The Judge Group. Find us on the web at www.judge.com