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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 - Physician Billing

Location

United States

Posted

78 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Revenue Cycle Specialist II - Physician Billing

Texas Health Resources

Role Description Bring your passion to Texas Health so we are Better + Together. Work Location: Remote Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights: - Gain a sense of accomplishment by contributing to a teamwork environment. - Receive excellent mentorship, comprehensive training, and dedicated leadership resources. - Fully Remote Position. What You Will Do: - Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner. - Document clear, concise, and complete follow up notes in system for each account worked. - Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output. - Identify, analyze, and escalate trends impacting AR collections. - Exceeds established productivity goals. - Complete special projects to improve team performance, as assigned. - Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department’s revenue cycle operations. - Ensure protection of private health and personal information. Adheres to all HIPAA compliance requirements. - Participate in educational activities and attends team meetings. - 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 team. - 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 PB AR management, insurance follow-up, insurance billing or relevant revenue cycle experience (Required) - Home Infusion and AR Billing (Claim Edits, Payor Rejections, etc) experience (Preferred) Requirements - Possess a strong work ethic and a high level of professionalism. - Demonstrates high level understanding of health insurance billing, follow-up, credits, regulations, and payer requirements. - Proficient computer and EMR skills, including but not limited to, 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. - Must be a dependable self-starter and deadline driven. Must have the ability to work well independently and in a team setting to meet organizational goals. - Must demonstrate solid understanding of key revenue cycle workflows, technical system, and metric goals. Benefits - Working Indoors 67% or more - Physical Demands: Sedentary

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