Revenue Cycle Specialist II

Texas Health Resources•Arlington, TX

16h•Remote

About The Position

Bring your passion to Texas Health so we are Better + Together Work Location: Remote: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights: Gain a sense of accomplishment by contributing to a teamwork environment. Receive excellent mentorship, comprehensive training, and dedicated leadership resources. Remote Position What You Will Do: Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner. Document clear, concise, and complete follow up notes in system for each account worked. Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output. Identify, analyze, and escalate trends impacting AR collections. Exceeds established productivity goals. Complete special projects to improve team performance, as assigned. Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department?s revenue cycle operations. Ensure protection of private health and personal information. Adheres to all HIPAA compliance requirements. Participate in educational activities and attends in person meetings as required. Remain current on collection and follow up procedures of various payors and specialty departments. Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership team. Demonstrate strong technical skills and account resolution abilities. 100%25

Requirements

H.S. Diploma or Equivalent Req
2 Years PB AR management, insurance follow-up, insurance billing or relevant revenue cycle experience Req
Possess a strong work ethic and a high level of professionalism.
Demonstrates high level understanding of health insurance billing, follow-up, credits, regulations, and payer requirements.
Proficient computer and EMR skills, including but not limited to, Microsoft Office suite applications such as Word and Excel.
Strong communication and organizational skills.
Proven experience in a billing environment.
Ability to shape communications to the needs of the audience.
Knowledgeable of HIPAA, state and federal regulations governing confidentiality, release of information and record retention.
Familiar with Electronic Medical Record (EMR) functionality, document imaging, and workflow. Epic Care Connect EMR experience and certifications are a plus.
Must be a dependable self-starter and deadline driven. Must have the ability to work well independently and in a team setting to meet organizational goals.
Must demonstrate solid understanding of key revenue cycle workflows, technical system, and metric goals.

Nice To Haves

Associate's Degree Business or healthcare related field Pref
Epic knowledge.
Experience with Home Infusion
Payor knowledge.
Claims Processing
Rebilling/Refunds
Credit Balance Resolution

Responsibilities

Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner.
Document clear, concise, and complete follow up notes in system for each account worked.
Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output.
Identify, analyze, and escalate trends impacting AR collections.
Exceeds established productivity goals.
Complete special projects to improve team performance, as assigned.
Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department?s revenue cycle operations.
Ensure protection of private health and personal information. Adheres to all HIPAA compliance requirements.
Participate in educational activities and attends in person meetings as required.
Remain current on collection and follow up procedures of various payors and specialty departments.
Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership team.
Demonstrate strong technical skills and account resolution abilities.