ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER

UHS • Denison, TX

8d

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
• Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment
• Knowledge of Healthcare (professional) billing
• Knowledge of CPT/ICD-10 coding
• Knowledge of government, managed care, and commercial insurance
• Knowledge of claim submission requirements
• Knowledge of reimbursement guidelines
• Knowledge of denial reason codes
• Excellent organization skills
• Attention to detail
• Research and problem-solving ability
• Results-oriented with a proven track record of accomplishing tasks within a high-performing team environment
• Service-oriented/customer-centric
• Strong computer literacy skills, including proficiency in Microsoft Office

Nice To Haves

• Technical School/2 Years College/Associate's Degree preferred
• An understanding of the revenue cycle and how the various components work together is preferred
• Mainframe billing software (e.g., Cerner, Epic, IDX) experience is highly desirable

Responsibilities

• Accurate and timely follow-up of unpaid claims
• Research claim denials and reprocess claims for payment
• Meet or exceed established performance targets
• Initiate and follow up on appeals
• Escalate identified denial trends or root cause of 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: Mid Level
• Education Level: High school or GED