Revenue Cycle Specialist Ii

Looking for a highly talented Revenue Cycle Specialist in Dallas, TX. Earn between $20-24/hr based on experience at this prestigious healthcare system!

OVERALL OBJECTIVE:

Primarily responsible for effective billing and collections for multi-office physician practice. Is able to resolve claim issues by utilizing extensive in-depth knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws. Experience with medical billing and collections, account resolution, and the ability to get claims paid. Demonstrates proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims and related tasks.

POSITION RESPONSIBILITIES:

• Accurate data entry of information into the computer system
• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Resolves most patient concerns or complaints without escalation
• Follow appropriate HIPAA guidelines provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
• Work well individually and in a team-environment accomplishing set goals
• Timely and accurate filing and billing of all patient transactions (billing, invoices, and insurance claims, etc.) for large volume accounts and 3rd party payers including Commercial and Government payers, Worker’s Compensation, etc.)
• Monitor claim status, contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals, and negotiations
• Answer/respond to correspondence related to patient accounts
• Identify trends and carrier issues related to billing and reimbursements. Report findings to manager
• Posting of charges, payments, adjustments and related activities in EHR. Coordinates with providers, when necessary, on incomplete information to assure proper account and claim adjudication
• Review of credit balance accounts and resolution to include refunds or corrections when necessary
• Use critical thinking skills and understanding of insurance eligibility requirements to correctly record contractual adjustments based on payer contracts or government regulations.
• Primarily responsible for high volume accounts and/or multiple accounts.
• Performs other related duties as assigned

MINIMAL REQUIREMENTS:

• High School Diploma or equivalent
• Minimum 3 - 5 years’ recent experience in medical billing and collections and emphasis on high volume and/or multiple accounts
• Proficiency in CPT codes, ICD-10 codes, HCPC codes and use of modifiers
• Medical billing and collections in a physician office setting preferred
• Proven track record of written appeals with success
• Ability to organize and manage multiple priorities commitment to company values
• Ability to work independently and with customers and insurance companies in a high-pressure environment while maintaining excellent customer service
• Basic math skills and accurately process money transactions (must be able to read & understand an EOB)
• Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on
• Must be proficient using the computer, data entry, and have above average typing skills
• Experience with MS Office, EMR/EPM systems
• Experience with eClinical Works Practice Management system preferred
• Prior experience with ENT specialty a plus

Schedule:

• Monday-Friday
• No weekends

Work Location: In-person/ On-site

All candidates will be background screened and must be eligible to work in the United States.
Drug free work environment. Equal Opportunity Employer.