Billing And Payment Resolution Specialist (Imaging, Pt, Ot

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time PSN Service LLC, Plano, TX, US

5 days ago Requisition

About Legent Health

At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.”

Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.”

Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do:

• Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience.
• Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all.
• Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners.

Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care.

About the Role We are seeking an experienced Billing and Payment Resolution Specialist to join our supporting high-volume imaging and physical therapy operations. This critical role involves overseeing billing charges, ensuring seamless claims transmission to clearinghouses and payors, performing accurate payment posting, and resolving payment discrepancies. The successful candidate will collaborate with our early out program leader to ensure optimal revenue cycle operations.

The ideal candidate will possess advanced proficiency in radiology and PT-focused billing platforms and professional-level experience in revenue cycle management.

POSITION’S ESSENTIAL RESPONSIBILITIES:

• Review and validate billing charges for accuracy, completeness, and compliance with coding guidelines and payer requirements across high-volume imaging studies and physical/occupational therapy service lines
• Ensure timely and accurate charge capture for diagnostic imaging procedures (MRI, CT, X-ray, ultrasound) and therapy visit services
• Monitor charge lag reports and collaborate with clinical and front desk staff to resolve missing or incomplete charges in high-volume, multi-location environments
• Notify early out program leader of charge description master (CDM) updates and pricing discrepancies
• Perform daily charge reconciliation and exception reporting
• Submit claims electronically through clearinghouses to various payors (commercial, Medicare, Workers Comp)
• Monitor claims transmission reports and resolve transmission errors
• Track claim status from submission through adjudication
• Manage claim edits, rejections, and clearinghouse error resolution
• Maintain clean claim rates above 98% through systematic pre-submission validation
• Post payments accurately from electronic remittance advice (ERA) and paper EOBs
• Reconcile daily cash receipts and identify payment variances
• Process contractual adjustments, write-offs, and refunds according to established procedures
• Maintain payment posting accuracy above 99%
• Generate and analyze payment reports for management review
• Handle claim rejections and edits at the clearinghouse level before transmission to payors
• Research and resolve payment discrepancies and short payments for routine claims
• Research and resolve unidentified payments from insurance and patient sources, coordinate with patient access and billing teams to locate appropriate accounts and ensure timely clearing of payment suspense items to support accurate month-end financial reporting
• Process initial claim corrections and resubmissions through clearinghouse systems
• Collaborate with AR specialist for high-level accounts receivable issues requiring advanced resolution
• Maintain detailed documentation of all front-end resolution activities
• Escalate complex…