Account Resolution Specialist

Scottish Rite for Children • Dallas, TX

1d • Onsite

About The Position

Our patients are our number one priority! We're committed to giving children back their childhood! This role involves reviewing assigned accounts to ensure accuracy, resolving credit balances, and following up on billed claims to ensure timely and accurate payment. The specialist will verify reimbursement per contractual agreements, resolve discrepancies, and appeal payer denials with supporting documentation. Additionally, the role involves routine follow-up with payers and families to expedite payments and assisting with training on account follow-up methods.

Requirements

• High school diploma or equivalent required
• Minimum of 1 year of patient account follow-up experience in the healthcare field with a clear understanding of contractual reimbursement and adjustments

Responsibilities

• Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payer guidelines
• Review and resolve credit balances in a timely manner
• Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts
• Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payers
• Review payer denial reasons and appeal with supporting documentation for complete reimbursement
• Follow-up with payers and families routinely to provide assistance to expedite payments
• Assist with training and development of account follow-up methods and procedures

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED