Patient Billing Specialist

Scottish Rite for Children • Dallas, TX

12d • 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 payor guidelines. The role identifies and resolves claim errors and billing problems, supports clean-claim generation, uses reports for billing reconciliation and trend tracking, monitors billing regulations, recommends updates to charge-capture documents, and assists with training on 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.
• At least 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 under government and third-party payor guidelines.
• Edit and process claims, identify errors and rejections, and resolve billing problems to generate clean claims.
• Develop and use reports for billing reconciliation and to track trends and potential implications.
• Review and recommend changes to department charge-capture documents to support accurate and comprehensive billing in compliance with annual CPT-4 and ICD-9 updates.
• Research and monitor government 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