Blue Ridge Radiologists

IT Support

• Provides scheduling, pre-registration and other pre-visit revenue cycle services and a variety of general information requested by customers.
• Schedules appointments in accordance with physician and/or patient requests with emphasis on filling first available appointment.
• Informs patients of any/all necessary pre-procedure preparations including any procedure pre-requisite requirements.
• Works daily tasks generated within any/all of the department's receivables management computer systems including assigned pre-billing edit rejected claims and unpaid denied claims.
• Follows up on denied claims by governmental and other third-party payers as assigned in the work queue.
• Identifies and resolves invalid or missing claim data by communicating with the physician office practices, hospital clinical departments, compliance representatives, billing support personnel and/or other constituents.
• Oversees assigned accounts receivable to ensure claims are being processed to completion.
• Processes unclean claims in a timely manner in the claims scrubbing system.
• Accurate and timely follow up on unresolved claims through communications with third party payers and patients.
• Monitors claims for denial trends and informs parties involved including management, office staff, physicians, department leaders, and revenue cycle leadership.
• Maintains a working knowledge of all payer standard transactions sets.
• Meets productivity standards as set by departmental policy in quantity and quality of work.

Pre-Visit Specialist I – Call Center