Accounts Receivable, Billing, Claims Processing, Current Procedural Terminology (CPT), Electronic Medical Records, HIPAA (Health Insurance Portability and Accountability Act), ICD-10, Insurance, Insurance Claims, Insurance Documentation, Managed Care, Medical Billing, Medical Coding, Medical Research, Medical Terminology, Patient Care Denials, Radiology, Revenue Management, Third-Party Payer, Time Management
Patient Billing Representative (Revenue Cycle Management) - Full-time Dallas, TX 75231
Pay: $20/hr - $22/hr | BASED ON EXPERIENCE
Shift: Mon - Fri, 8:30a - 5p
Requirements & Qualifications- Minimum 2 years recent experience as a Patient Account / Billing Rep in healthcare RCM
- Medical billing claim processing experience
- Radiology experience preferred
- At least 2 years of Medical billing, accounts receivable, and collection experience.
- EMR systems, patient account rep - medical billing claims / appeals / denials / patient collection calls
- Appic - Royal revenue experience
- Imagine billing systems experience
- Must possess knowledge & understanding of managed care & insurance practices.
Contacts all assigned patient and insurance/3rd-party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Supervisor. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures.
- Works a detailed daily work queue for assigned accounts over 31 days old.
- Works detailed aging report as assigned for accounts over 31 days old.
- Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.
- Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.
- Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45 th workday from the date of service.
- Responsible for using available tools to extract needed EOB's or zero pay EOB's when needed.
- Responsible for monitoring all aged patient balances and monthly patient collection calls for outstanding balances owed.
- Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.
- Researches medical or coding denials to process appeals and coverage guidelines.
- Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.
- Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.
- Skip traces accounts according to established practices.
- Reviews payment arrangement accounts that have not had regular payments in over a month.
- Initiates collection letters and/or statements to patients in accordance with policies and procedures.
- Follows HIPAA guidelines on confidentiality
- Knowledge of medical terminology, CPT and ICD-10 coding, office ethics.
- Understanding of managed care and insurance practices.
-------- * HOW TO APPLY: * --------
1. If you are a Patient Billing Account Rep of at least 2 years experience, APPLY NOW with updated resume. Then-
2. Call Leah @ 214-730-5175 to provide your availability to be reached out to ASAP
BENEFITS & PERKS:
1. Medical insurance
2. Dental insurance
3. Vision insurance
4. Supplemental insurance (no cost)
5. Disability (long term, short term)
6. PTO
7. Referral program
8. Paid weekly, on Fridays