Accounts Receivable Specialist (2761)

US Heart & Vascular • Houston, TX

16d • Onsite

About The Position

US Heart and Vascular is in need of a Part-time Accounts Receivable Specialist to join our team at Houston Cardiovascular Associates in Houston, TX. This role is responsible for billing all patient claims in a timely manner and performing basic claims follow-up activities. The specialist will work daily claims rejection lists, utilize various systems to research and retrieve necessary documentation for claim corrections, and maintain effective working relationships with carrier representatives and clients. Compliance with all regulatory requirements and guidelines, including OSHA, HIPAA, and Federal Fraud and Abuse laws, is essential.

Requirements

• High School Diploma or equivalent required
• Knowledge of the accounts receivables (A/R) process
• One year healthcare or insurance billing processing experience required
• Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
• Proficient in medical terminology, anatomy, and physiology
• Strong knowledge of ICD-1O coding
• Familiarity with medical office procedures and billing practices

Nice To Haves

• Bachelor's Degree in a related field preferred but not required
• eClinicalWorks experience preferred but not required

Responsibilities

• Responsible for billing all patient claims in a timely manner
• Perform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.
• Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.
• Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.
• Establish and maintain effective working relationships with carrier representatives and internal and external clients.
• Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes
• Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.
• Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.

What This Job Offers

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