• Job Description

  Req#: JR1000017936

  Hours of Work :

  40

  Days Of Week :

  Monday through Friday

  Work Shift :

  Job Description :

  Your Job:

  We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in a Central Business Office (CBO) setting. The ideal candidate will possess a strong background in healthcare revenue cycle management, specifically in addressing and resolving no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement.

  Your Job Requirements:
  - Associate degree or High School Diploma with (4) four years of experience in healthcare revenue cycle management, specifically in a professional billing for family practice.

  - Proficiency in medical billing software EPIC and electronic health record (EHR) systems.
  - Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations.

  - Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims and financial data.

  - Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders.

  - Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting.

  - Ability to prioritize tasks, meet deadlines, and work efficiently in a fast-paced environment.

  - Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.
  - Position requires 5 months of in office training before transitioning to working remotely. One day in office a week is required, 4 days from home.
  
  Join our dynamic team and contribute to the financial health of our organization while supporting quality patient care in our family practice setting.

  Your Job Responsibilities:
  - Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately.

  - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement.

  - Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments.

  - Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment.

  - Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement.

  - Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable.
  - Be accountable for your performance.
  - Always look for ways to improve the patient experience
  - Take initiative for your professional growth
  - Be engaged and eager to build a winning team

  Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

  • 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023
  • Top 10 Military Friendly® Employer, Gold Designation, 2023
  • Top 10 Military Spouse Friendly® Employer, 2023

• About the company

  Methodist Health System is a renowned network of acute-care and teaching hospitals and medical centers in North TX and Dallas. We treat patients like family.

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