Medical Billing Account Representative (Dallas, TX)

We are seeking a detail-oriented and results-driven Medical Billing Account Representative to join our corporate office in Dallas, TX. This is an excellent opportunity to play a key role in supporting our healthcare partners by managing accounts receivable follow-up, ensuring accurate and timely claim resolution, and contributing to a smooth revenue cycle process in a professional office environment.

Essential Functions:

• Reviewing outstanding insurance balances
• Thorough working knowledge of outpatient/provider billing and coding in multiple medical specialties
• Identifying and resolving issues preventing finalization of claim payments, which may include coordinating with payers, patients, and clients when appropriate
• Analyzing data and recording trends, escalating to management when necessary
• Recommending solutions to improve first-pass denial rates and reduce the age of overall AR
• Processing 40-60 claims daily
• Knowledge of payer portals
• Experience working claims in clearinghouse
• Ability to research payer policies and/or send work claims based on the patient’s insurance plan
• Answering inbound customer/patient calls and questions
• Collecting balances on accounts
• Validating reimbursement requests from payers and appealing when necessary
• Initiating refunds to patients after confirming credit balances
• Maintaining in-depth working knowledge of the various applications associated with the workflows
• Ensuring all tasks are completed within the set turn-around-time within quality expectations

 Skills and Qualifications:

• High school diploma (other equivalents accepted) or equivalent combination of education and experience in healthcare required (Associate's degree preferred)
• Proficiency in MS Office Suite
• EMR experience required; E-Clinical Works preferred
• At least one year of experience handling physician office claims across various specialties
• Experience with internal medicine, family medicine, cardiology, pain management, or ENT preferred
• Coding and billing certification preferred
• Excellent command of the ICD-10-CM, and CPT-4 classification systems
• Proficient and in-depth knowledge of ICD-10-CM, CPT and HCPCS and Evaluation and Management coding guidelines.
• Ability to handle stressful situations in a professional manner
• Ability to set priorities and work independently while maintaining a high degree of accuracy
• Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction

Schedule:

Monday through Friday, 8:00 AM - 5:00 PM. No weekends, holidays, or after hours.

About Us:

99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients – by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, ENT, and more.

Learn more about our office and culture by visiting www.99mgmt.com or our Facebook page.

Benefits:

• 401(k) with matching*
• Medical, Dental, Vision Insurance
• Flexible Spending Account
• Disability and Life Insurance
• Paid Time Off
• Employee Assistance Program

*401(k) Retirement Plan – Our company offers a 401(k) plan with immediate vesting on employer contributions. Employees can start contributing after 6 months of employment with both pre-tax and Roth 401(k) options available. The company provides a 100% match on the first 3% of contributions and 50% match on the next 2%, fully vested from day one. Additional investment options, loan features, and rollover support are available. Annual contribution limits apply.