Medical Accounts Receivable Specialist

Full Time
Houston, TX 77027
Posted Today
Job description

We are seeking a full-time Medical A/R Rep in our billing office.

Duties/Responsibilities include but are not limited to:

  • Effectively review and research claims denials and contact payers to verify detailed denial reasons when necessary
  • Contact patients to obtain accurate insurance information.
  • Phone appeals & reconsiderations for denied or rejected claims.
  • Must be able to identify and communicate denial/rejection trends to management
  • Follow up on all claims from billing through final resolution
  • Correct and identify billing errors and resubmit claims to insurance carriers·
  • Review insurance EOB and initiate appeals and as necessary·
  • Respond to Payer’s request for additional information/documentation· Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments)·
  • Answer incoming calls and assist insurance carriers with their requests· Communicate patient responsibility with patient·
  • Collect on patient balances and/or establish a payment plan·
  • Review weekly schedules for patients with upcoming appointments, contact patients and communicate to front desk arrangements made to collect balances·
  • Return mail (patient statements), contact patient to obtain correct billing address and/or payment
  • Navigate and research insurance policies & benefits for policy exclusions for patients.
  • Navigate and research payer medical reimbursement policies and exclusions.
  • Complete request for reconsideration forms while following payer requirements.
  • Prepare documentation and file appeals and reconsiderations as appropriate.
  • Review and work all daily correspondence received from patients and payers.
  • Must be aware of the timely filing guidelines associated with reconsiderations and appeals for assigned payers.
  • Review accounts for accuracy (payments and adjustments)
  • Knowledgeable of medical EOB’s, patient deductibles and co-pays, and insurance or third-party correspondence.
  • Experience working with payer websites.
  • Experience in working-aged AR
  • EDI transactions/troubleshooting.
  • Other assigned duties.

Job Requirements:

  • High School Diploma or GED preferred.
  • Minimum of 4 years of medical billing, collections, and payment posting experience.
  • Certified Professional Coder (preferred but not required)
  • Knowledge of CPT Coding, ICD10, and use of appropriate modifiers
  • Experience working appeals and composing appeal letters
  • Knowledge of bundling and global periods
  • Experience working in Microsoft Word & Excel, Outlook, Teams, & Athena is a PLUS!
  • Experience working in medical collections, both insurance and patient
  • Urology and medical terminology
  • Knowledge of insurance plans, claims, and billing processes.

Job Type: Full-time

Pay: $15.00 - $20.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Application Question(s):

  • Salary Requirement

Education:

  • High school or equivalent (Preferred)

Experience:

  • Medical billing: 4 years (Preferred)
  • collection: 3 years (Preferred)
  • payment posting: 3 years (Preferred)

Work Location: One location

Intrested in this job?

Related Jobs

All Related Listed jobs

Together We Grow:Harvest Seasonal Grill is looking for experienced Bartenders to join our team!Harvest was founded on the mission of helping to create a brighter tomorrow. Our company culture of

Immediate Openings Start Right Away! Competitive Hourly Rates Schedules to meet your availability! Employee Discount at Macy's AND Bloomingdales Please note currently this

# of Openings: 1 Overview: GROCERY RETAIL RESET SPECIALIST Urgently Hiring! $300 Hiring Bonus! CROSSMARK is seeking an enthusiastic, motivated individual to join our growing team. As

$20 - $22 / hour - New and Increased Wages Starting August 14th Apply Today!Shift: Preload (3:30 AM - 9:00 AM) Day (10:00 AM - 4:00 PM) Twilight (4:00 PM - 10:00 PM) Night (10:00 PM - 4:00 AM)HEAD

Must Have Front Desk Experience. BASIC PURPOSE: Check in and check out guests, respond to inquiries and problems in an efficient, courteous and professional manner to achieve maximum customer

Workplace Excellence. Through our associates' opinions and voices, Orange County's Credit Union is a proud recipient of the Peter Barron Stark Best of the Best Award for highest associate

Overview: The Highlands is looking for new Ski Valets to join our team! You will be responsible for one of the most critical items guests will bring to our resort, their skis and/or snowboards.

Company Description Join one of the fastest growing, game-changing organizations in its industry and create a foundation for personal growth and future success! Look no further. Job

SHOP TECHJOB DESCRIPTIONEnerCorp, LLC is a private equity sponsored oilfield services company with operations in Canada and the United States. EnerCorp offers innovative technologies produced in

Growing company in Little Chute, Wi is adding to their team! We have entry level production opportunities, experienced Forklift openings, Machine Operator and Maintenance Tech positions. If you're