Account Resolution Specialist
Scottish Rite for Children•Dallas, TX
•Onsite
About The Position
Our patients are our number one priority! We're committed to giving children back their childhood!
Requirements
- Minimum of two years of experience managing patient account follow‑up within a revenue cycle environment (required)
- Demonstrated ability to analyze payer denials and determine appropriate next steps for resolution (required)
- Clear understanding of how to execute effective resolution strategies, including preparing appeal letters (required)
Nice To Haves
- Strong understanding of payer contracts, reimbursement methodologies, and adjustments (preferred)
- Familiarity with clinical documentation requirements to verify basic coding compliance (preferred)
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
