Health Business Specialist

University of North Texas System•Fort Worth, TX

1d•Onsite

About The Position

HSC Health is seeking to hire a Health Business Specialist to join our team. This position is highly focused on the resolution of insurance processing errors and/or denials. Responsible for optimizing physician reimbursement. Provide financial, administrative, and clerical support related to claims. Research claims with no payment or response from payor. Analyze denials to identify trends and determine most expedient methods of collecting reimbursement for services provided. Resolve claims issues and other discrepancies according to established policies and procedures in an efficient, timely and accurate manner. Answer incoming patient billing calls. Review claim billing for accurate patient balances and maintain patient payment plans.

Requirements

Bachelor's degree in a related field, or any equivalent combination of education or experience.
Strong attention to detail to ensure accurate coding and billing processes are completed.
Excellent communication skills to work effectively with others.
Proficiency in reviewing and analyzing accounts to identify and correct errors in a timely manner.
Strong problem-solving skills to address and correct denial trends.

Nice To Haves

NextGen experience
Bilingual

Responsibilities

Set up and maintain patient payment plans.
Process patient payments
Review claim billing for accuracy in regard to patient billing
Take incoming patient billing calls to review and address all patient billing questions
Work denied claims reports to correct and either rebill or appeal claims in a timely manner to ensure timely file deadlines are met
Contact insurance payers regarding claim denials for reprocessing
Stay current on insurance payer billing guidelines and changes
Review claim denials for billing and payer processing accuracy
Track denial trends and determine most expedient methods of collecting reimbursement for services provided