Account Resolution Specialist

Scottish Rite for Children; Dallas, Northern (TX, KY); Hybrid; USD 52,000 - 72,000; Full time

Job summary

Scottish Rite for Children in Dallas is seeking an Account Resolution Specialist to review, follow up, and resolve patient accounts, ensuring accurate billing and timely payments. You will verify reimbursements under contractual terms, analyze denials, and prepare necessary appeal documentation to maximize revenue.

The role supports collaborative payer communications and, when needed, guidance for families navigating the payment process, with a Monday–Friday schedule.

Qualifications

• Minimum of two years of experience managing patient account follow-up within a revenue cycle environment.
• Demonstrated ability to analyze payer denials and determine appropriate next steps for resolution.
• Clear understanding of how to execute effective resolution strategies, including preparing appeal letters.
• Familiarity with clinical documentation requirements to verify basic coding compliance (preferred).

Responsibilities

• Review all assigned accounts to ensure charges and information are correct and claims are billed per guidelines.
• Review and resolve credit balances in a timely manner.
• Follow-up on billed claims to ensure timely and accurate payment.
• Verify reimbursement per contractual agreements and resolve discrepancies with payers.
• Review payer denial reasons and appeal with supporting documentation for complete reimbursement.
• Follow-up with payers and families to expedite payments.
• Assist with training and development of account follow-up methods and procedures.

Skills

Experience in patient account follow‑u

Analyze payer denials

Prepare appeal letters

Understand payer contracts & reimburse

Job description

## Account Resolution SpecialistApply: Dallas, TX: Full time: Posted 2 Days Ago: JR6056Our patients are our number one priority! We're committed to giving children back their childhood!**Job Posting Title:**Account Resolution Specialist**Location:**Dallas - Hospital**Additional Posting Details:**Monday - Friday8:00 am - 4:30 pm**Job Description:**# **Duties/Responsibilities*** Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payer guidelines* Review and resolve credit balances in a timely manner* Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts* Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payers* Review payer denial reasons and appeal with supporting documentation for complete reimbursement* Follow-up with payers and families routinely to provide assistance to expedite payments* Assist with training and development of account follow-up methods and procedures# Required Skills/Abilities* Minimum of two years of experience managing patient account follow‐up within a revenue cycle environment (required)* Demonstrated ability to analyze payer denials and determine appropriate next steps for resolution (required)* Clear understanding of how to execute effective resolution strategies, including preparing appeal letters (required)* Strong understanding of payer contracts, reimbursement methodologies, and adjustments (preferred)* Familiarity with clinical documentation requirements to verify basic coding compliance (preferred)### About UsAt Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and are an equal opportunity employer.