Dallas
Job Description A/R Specialist Contract-To-Hire Pre-Employment Compliance: MMR COVID & FLU vaccine, background check, drug test - no THC Hours: M-F 8:00 to 4:30 pm, 40 hours per week, possible weekends and/or OT if there is business need Onsite: No remote possibility Dress code: Solid color scrubs or jeans and business casual top Reports To: Accounts Receivable Manager Job Purpose: The ability to work all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service and follow-up in accordance with Departmental protocol with an emphasis on maximizing patient satisfaction and profitability. Also depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction. Education: Associate Degree or High School Diploma with four years as an Account Receivable analyst in Physician billing. Licenses and/or Certifications (Preferred): • Minimum 4 years healthcare insurance background preferred with some of the following: health care data including medical diagnostic/procedural coding, health care analyses, and experience with contract language is a plus., • Four years medical collections/billing experience preferred., • Computer skills required., • Type/key 40 wpm., • Good math skills., • Thorough knowledge of and demonstrated proficiency in Microsoft Excel, & other MS software and computerized patient accounting applications., • Proficiency with two or more receivables management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports and patient information inquiry., • Submits as assigned primary and secondary claims electronically or by paper each day to ensure timely reimbursement., • Provides customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with office protocol. Customer calls regarding accounts receivable should be returned within 2 business days to ensure maximum customer satisfaction., • Work all cases assigned to a Work Queue at the time of entry to ensure corrections and provide feedback to other areas and to ensure timely reimbursement. Meet established productivity standards while documenting properly all activity on accounts, • Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction., • Actively searches for solutions to problems and presents ideas and recommendations to Management., • Assists in the training of new employees relating to collection practices and other duties as assigned by Manager., • Ensures compliance to all State, Federal, and Central Business Office issues, including but not limited to patient-rights, Fair Debt Collections practices and other collection practices., • Retroactive verification of eligibility. Always attempts to verify inaccurate / missing information. Reviews accounts and sends appeal according to outline process provided by CBO., • Other duties as assigned. Company DescriptionClient Information must be withheld until meeting with Staffing AgencyClient Information must be withheld until meeting with Staffing Agency