Accounts Receivable Specialist

Aprima; Richardson (TX); On-site; USD 35,000 - 50,000; Full time

Job summary

A healthcare management company in Richardson, Texas, seeks an experienced billing specialist to maintain private insurance accounts and assist the AR team. In this role, you will work on claims and denials, prioritize workloads, and ensure HIPAA compliance. The ideal candidate will have a high school diploma and preferably two years’ experience in physician billing. Strong communication and analytical skills are essential for effective client interaction and problem resolution.

Qualifications

• Preferably two years’ prior experience in physician professional billing.
• Familiarity with CPT & ICD10 Coding.
• Experience with claim denials and resolution.

Responsibilities

• Work/Call on claims & denials to fully resolve claim.
• Prioritize workload balance.
• Communicate with clients via email or task message.

Skills

Detail-oriented

Organizational skills

Analytical skills

Customer service skills

Communication skills

Education

High school diploma/GED

Tools

Aprima PM practice management system

MS Excel

MS Word

Job description

Overview

Job Purpose: Maintenance of private Insurance accounts for patient billing and to assist the AR Manager/Supervisor in managing the Accounts Receivables for the physicians/clinics/clients that are assigned to them, by reducing the AR, resolving claim denials, and following payer specific processes surrounding the AR while managing their assigned task EPM inventory.

Responsibilities

• Work/Call on claims & denials to fully resolve claim
• Prioritize work load balance
• Communicate with clients via email or task message
• Provide feedback to team lead regarding denial trends
• Maintain strict confidentiality within medical practice and HIPAA compliance
• Maintain productivity standards and goals set by the department and/or manager.
• Maintain standard quality measures and goals.
• Attend Meetings as required and/or participate in various committees as required
• Other duties as assigned by, Team Lead, Manager, Director, VP RCM.

Required Skills

• High school diploma/GED
• Preferably two years’ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to:
• Explanation of Benefit forms (EOB)
• Credit balances (discounts and refunds)
• Insurance carrier billing requirements
• Collections
• Familiarity of payer provider enrollment
• CPT & ICD10 Coding

Core Competencies

• Accountability and Self-Management: Must be detail-oriented and organized; a self-starter capable of tracking to deadlines and meeting goals with little supervision required; a high level of analytical and problem solving skills is expected
• Team Player: Ability to work autonomously and as a team player
• Communication: Excellent communication, customer service, and organizational skills; strong verbal and written communications
• Innovation and Problem Solving: Attention to detail and moderate analytical and problem solving skills is expected
• Computer Skills: Must possess general office skills and computer knowledge; strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred; MS Excel and MS Word

Physical Demands

• May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies. Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary. Employee must participate to help maintain the desirable work environment created by the management and company officials.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.