AR II Specialist - Hybrid Position

Methodist Health System•Dallas, TX

77d•Hybrid

About The Position

We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) location. The ideal candidate will possess a strong background in A/R follow up for family and multi-specialty claims, able to identify, address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement.

Requirements

High School Diploma required
Two to four years of experience in healthcare revenue cycle management.
Proficiency in medical billing software EPIC and electronic health record (EHR) systems.
Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations.
Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims.
Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders.
Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting.
Ability to prioritize tasks, meet deadlines, and work efficiently in a fast-paced environment.
Position requires 6 months probationary period to be successfully completed before being approved to work from home. WFH schedule based on business needs.

Nice To Haves

College degree preferred
Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.

Responsibilities

Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately.
Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement.
Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments.
Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment.
Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement.
Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable.
Be accountable for your performance.
Always look for ways to improve the patient experience
Take initiative for your professional growth
Be engaged and eager to build a winning team