ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER

UHS • Denison, TX

89d

About The Position

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 or equivalent operations work environment.
• Knowledge of CPT/ICD-10 coding, claim submission requirements, and reimbursement guidelines.
• Understanding of the revenue cycle and its components.
• Excellent organization skills and attention to detail.
• Strong research and problem-solving abilities.
• 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 based on payer-defined aging criteria.
• 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

• Challenging and rewarding work environment.
• 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
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees