Revenue Cycle & Account Receivables Specialist
$31,200–$31,200 year
On-siteDallas, Texas, United States
Job Summary
Conduct timely billing, accounts receivable follow-up, and final resolution of assigned accounts while ensuring appropriate contractual adjustments. Review and correct claims for coding accuracy, submit primary, secondary, and tertiary insurance claims, and analyze EOBs and remittance advice to verify reimbursement. Post payments and adjustments, research denied or underpaid claims within filing deadlines, and initiate appeals as needed. Communicate with insurance carriers to resolve payment issues and manage aging reports to reduce outstanding balances. Maintain thorough account documentation and monitor work queues to meet productivity goals. Ensure compliance with HIPAA and payer requirements while collaborating with the Billing Manager on operational issues.
Required Qualifications
- 3+ years of healthcare billing and accounts receivable experience, including insurance billing, follow-up, denial management, collections, appeals, and reimbursement resolution
- High School Diploma/GED
- Experience with Medicaid, Medicare, and commercial payers
- Knowledge of managed Care, Medicaid, Medicare, and commercial insurance reimbursement processes
- Understanding of behavioral health billing, CPT, HCPCS, and ICD-10 coding standards
- Experience with accounts receivable management, denial resolution and revenue cycle operations
- Proficiency in medical terminology and healthcare billing practices
- Strong knowledge of payer reimbursement practices and revenue cycle operations
- Excellent analytical, problem-solving, and claim resolution skills
- Strong organizational skills, attention to detail, and ability to meet performance goals
- Ability to work independently and collaboratively in a team environment
- Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job
- Strong written and verbal communication skills
- Keyboard proficiency (approximately 50 words/minute)
- Ability to operate a personal computer and related software applications
- Strong attention to detail
- Ability to multitask and accept Billing Manager or Director of Revenue Cycle Management prioritization of job duties
- Ability to problem solve under pressure
- Ability to communicate and interact professionally with others
- Understanding of and commitment to appropriate protection of confidential patient information
- Must be able to have a HIPAA secure environment when telecommuting
- Ability to view computer monitors with close vision, color vision, depth perception, and ability to adjust your focus with good hand-eye coordination
- Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods
- Employee must be able to sit up to 90% of the time
- Employee must be able to stand, walk, and climb stairs (up to 10% of the time)(if an elevator is unavailable)
- Must be able to frequently (up to 20% of the time) listen and speak clearly in person, and via telephone
Desired Qualifications
- Behavioral health and/or outpatient billing experience preferred
- Credentialing knowledge and Netsmart experience preferred
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