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Texas Health Resources logo
Texas Health Resources

Located in Arlington Texas, Texas Health Resources is a nonprofit, faith-based healthcare provider that has been providing a wide range of healthcare services to the communities th

Revenue Cycle Specialist II

Location

United States

Posted

105 days ago

Salary

0

No structured requirement data.

Job Description

Revenue Cycle Specialist II

Texas Health Resources

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves managing the revenue cycle by expediting and maximizing payment and resolution of insurance medical claims. - Resolve edits, denials, and payment issues in a timely manner. - Document clear, concise, and complete follow-up notes in the system for each account worked. - Ensure accounts are completed and worked at a high level of quality using HRO tools and monitoring output. - Identify, analyze, and escalate trends impacting AR collections. - Exceed established productivity goals. - Complete special projects to improve team performance as assigned. - Demonstrate expertise of all payors, including Medicare, Medicaid, and commercial payors. - Ensure protection of private health and personal information; adhere to all HIPAA compliance requirements. - Participate in educational activities and attend in-person meetings as required. - Remain current on collection and follow-up procedures of various payors and specialty departments. - Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership. - Demonstrate strong technical skills and account resolution abilities. Qualifications - H.S. Diploma or Equivalent Required - Associate's Degree in Business or healthcare related field Preferred - 2 Years of PB AR management, insurance follow-up, insurance billing, or relevant revenue cycle experience Required - Preferred Experience: Epic knowledge, experience with Home Infusion, payor knowledge, claims processing, rebilling/refunds, credit balance resolution Requirements - Strong work ethic and a high level of professionalism. - High level understanding of health insurance billing, follow-up, credits, regulations, and payer requirements. - Proficient computer and EMR skills, including Microsoft Office suite applications such as Word and Excel. - Strong communication and organizational skills. - Proven experience in a billing environment. - Ability to shape communications to the needs of the audience. - Knowledgeable of HIPAA, state and federal regulations governing confidentiality, release of information, and record retention. - Familiar with Electronic Medical Record (EMR) functionality, document imaging, and workflow; Epic Care Connect EMR experience and certifications are a plus. - Dependable self-starter and deadline driven. - Ability to work well independently and in a team setting to meet organizational goals. - Solid understanding of key revenue cycle workflows, technical systems, and metric goals. Company Description

Job Requirements

  • H.S. Diploma or Equivalent Required
  • Associate's Degree in Business or healthcare related field Preferred
  • 2 Years of PB AR management, insurance follow-up, insurance billing, or relevant revenue cycle experience Required
  • Preferred Experience: Epic knowledge, experience with Home Infusion, payor knowledge, claims processing, rebilling/refunds, credit balance resolution
  • Strong work ethic and a high level of professionalism.
  • High level understanding of health insurance billing, follow-up, credits, regulations, and payer requirements.
  • Proficient computer and EMR skills, including Microsoft Office suite applications such as Word and Excel.
  • Strong communication and organizational skills.
  • Proven experience in a billing environment.
  • Ability to shape communications to the needs of the audience.
  • Knowledgeable of HIPAA, state and federal regulations governing confidentiality, release of information, and record retention.
  • Familiar with Electronic Medical Record (EMR) functionality, document imaging, and workflow; Epic Care Connect EMR experience and certifications are a plus.
  • Dependable self-starter and deadline driven.
  • Ability to work well independently and in a team setting to meet organizational goals.
  • Solid understanding of key revenue cycle workflows, technical systems, and metric goals.

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