Patient Billing Specialist

Texas Scottish Rite for Children • Dallas, TX

11d • Onsite

About The Position

The Patient Billing Specialist reviews patient accounts and processes Institutional (UB-04) and Physician (HCFA 1500) claims in accordance with government and third-party payer guidelines. The role identifies and resolves claim errors and billing problems, performs billing reconciliation and trend tracking, supports accurate charge capture, monitors billing regulations, and assists with training and development of billing methods and procedures. The position is located at the Dallas hospital and is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m.

Requirements

• High school diploma or equivalent.
• Minimum 2 years of insurance billing experience in the healthcare field.
• Clear understanding of CPT-4 and ICD-9 codes.

Responsibilities

• Review patient accounts to ensure timely and compliant billing of Institutional (UB-04) and Physician (HCFA 1500) claims according to government and third-party payer guidelines.
• Edit and process claims, identify errors and rejects, and resolve billing problems to generate clean claims.
• Develop and use reports for billing reconciliation and to track trends and other potential implications.
• Review and recommend changes to departmental charge capture documents to support accurate, comprehensive billing in compliance with annual CPT-4 and ICD-9 updates.
• Research and monitor governmental and third-party payer billing regulations and guidelines.
• Assist with training and development of billing methods and procedures.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED