ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER

Uhs • Denison, TX

130d

About The Position

TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Research claim denials by assigned payer/s to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows up on appeals, recognizing the payer-defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims, and maximize opportunities to enhance front-end claim edits to facilitate first pass resolution. Identifies noncollectable accounts and performs accurate and timely write-offs (e.g. no authorization), adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds 'best practices' in day-to-day processes and workflow standardization to drive maximum efficiencies across the team.

Requirements

• High School Graduate/GED required.
• Technical School/2 Years College/Associate's Degree preferred.
• 3-5 years minimum experience in healthcare billing, health insurance, or equivalent operations work environment.
• Knowledge of healthcare billing, CPT/ICD-10 coding, claim submission requirements, reimbursement guidelines, and denial reason codes.
• Understanding of the revenue cycle and how various components work together is preferred.
• Excellent organization skills, attention to detail, research, and problem-solving ability.
• Strong computer literacy skills, including proficiency in Microsoft Office.

Nice To Haves

• Experience with mainframe billing software (e.g., Cerner, Epic, IDX) is highly desirable.

Responsibilities

• Accurate and timely follow-up of unpaid claims by assigned payer/s.
• Research claim denials to determine reasons for denials.
• Correct and reprocess claims for payment in a timely manner.
• Meet or exceed established performance targets (productivity and quality).
• Initiate and follow up on appeals.
• Escalate identified denial trends or root causes to mitigate future denials.
• Identify noncollectable accounts and perform accurate and timely write-offs.
• Uphold 'best practices' in day-to-day processes and workflow standardization.

Benefits

• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision, and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Personal and Laundry Services
• Education Level: High school or GED