Billing & Payment Resolution Specialist – Imaging

Position Summary

We are seeking an experienced Billing & Payment Resolution Specialist – Imaging to oversee the end-to-end revenue cycle management (RCM) process for our growing Imaging and Physical Therapy service lines. This role will lead billing operations for a new Imaging/PT clinic while also managing revenue cycle oversight for existing outsourced Physical Therapy centers.

This position is focused on claim resolution, payment posting, and accounts receivable management—not medical coding or charge entry. The ideal candidate will serve as the operational owner of the claim lifecycle from charge validation through reimbursement, ensuring timely and accurate claim submission, payment processing, and AR resolution.

Key Responsibilities

Revenue Cycle Management

• Manage the complete billing and payment resolution process for Imaging and Physical Therapy services.
• Validate and reconcile charges prior to claim submission.
• Review, investigate, and resolve claim edits, rejections, and clearinghouse exceptions.
• Transmit clean claims to payers through electronic clearinghouse platforms.
• Monitor claim status and coordinate timely resolution of payer denials and payment delays.
• Perform moderate accounts receivable follow-up to ensure optimal reimbursement and reduce aging balances.

Payment Posting & Reconciliation

• Process and reconcile electronic remittance advices (ERAs) and paper explanations of benefits (EOBs).
• Ensure accurate posting of payments, adjustments, and contractual allowances.
• Investigate payment discrepancies and coordinate resolution with payers and internal stakeholders.
• Support daily cash reconciliation activities and maintain posting accuracy standards.

Vendor & Outsourced Billing Oversight

• Serve as the primary liaison for outsourced Physical Therapy billing vendors.
• Monitor vendor performance, operational effectiveness, and service-level expectations.
• Review AR aging reports and reimbursement trends across outsourced centers.
• Identify opportunities to improve collections, reduce outstanding balances, and enhance revenue cycle performance.

Quality & Performance Management

• Maintain high clean claim rates through proactive pre-submission validation.
• Ensure accurate and timely payment posting across all reimbursement sources.
• Track key revenue cycle metrics and identify process improvement opportunities.
• Support compliance with payer requirements, industry regulations, and organizational policies.

Required Qualifications

Revenue Cycle Experience

• 3+ years of healthcare revenue cycle experience with direct responsibility for claim submission, payment posting, and AR follow-up.
• Strong understanding of claim lifecycle management, clearinghouse workflows, and payer reimbursement processes.
• Experience resolving claim edits, rejections, and billing exceptions.

Specialty Billing Expertise

Candidates must possess hands-on experience in both:

Imaging/Radiology Billing

• High-volume imaging environments including:
  • Radiology
  • MRI
  • CT
  • X-Ray
• Knowledge of imaging-specific reimbursement guidelines, payer requirements, and fee schedules.

Physical Therapy / Occupational Therapy Billing

• Experience with Physical Therapy and Occupational Therapy revenue cycle processes.
• Understanding of therapy-related reimbursement rules, including:
  • Therapy thresholds and utilization monitoring
  • KX modifier requirements
  • Payer-specific therapy billing guidelines

Vendor Management

• Experience working with or managing outsourced billing vendors.
• Ability to evaluate vendor performance through AR aging, reimbursement metrics, and operational KPIs.
• Strong communication and coordination skills to effectively partner with third-party billing organizations.

Apply now