Account Receivable Specialist: Denials & Collections

Houstonmethodistcareers; Houston, Northern (TX, KY); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Houston Methodist is seeking an Account Representative to resolve third party insurance claims for professional services. The role includes handling denials, collections on balances, and analyzing denial trends to prevent future issues. Excellent communication with patients and payors is essential.

Applicants should have solid physician billing experience, a high school diploma, and strong knowledge of CPT-4, ICD-9/10, and HCPCS coding. HIPAA and PCI compliance are important aspects of the role.

Qualifications

• Must be able to communicate clearly with patients, physicians and staff
• Familiarity with CPT-4, ICD-9/10 and HCPCS coding essentials
• Understanding of payer policies, managed care, TPAs and denials process

Responsibilities

• Collaborate with management to reduce aging of accounts.
• Identify denial trends and notify supervisor to prevent future denials.
• Assist with knowledge sharing and cross-training within the team.
• Complete projects to improve team performance.

Skills

Customer service

Denial management

Negotiation

Communication

Billing knowledge

HIPAA awareness

Data entry

Analytical thinking

Multi-tasking

Education

High School diploma or equivalent

Job description

Houston Methodist is seeking an Account Representative to resolve third party insurance claims for professional services. The role includes handling denials, collections on balances, and analyzing denial trends to prevent future issues. Excellent communication with patients and payors is essential.

Applicants should have solid physician billing experience, a high school diploma, and strong knowledge of CPT-4, ICD-9/10, and HCPCS coding. HIPAA and PCI compliance are important aspects of the role.