ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER

Universal Hospital Services Inc.; Denison (TX); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Competitive pay

Generous PTO

Medical, Dental, Vision plans

401(k) with company match

Career development

Job summary

TexomaCare, affiliated with Universal Health Services, is seeking an Accounts Receivable Specialist to ensure timely collection of unpaid claims and accurate denial management.

You will research denials, reprocess claims, and coordinate with payer representatives to maximize revenue and minimize write-offs while maintaining compliance across the TexomaCare network.

Qualifications

• 3–5 years in healthcare billing or health insurance operations
• Experience with CPT/ICD-10 coding and denial management
• Familiarity with payer requirements and reimbursement guidelines

Responsibilities

• Follow up on unpaid claims by payer and aging criteria to meet collection targets
• Research claim denials and reprocess for payment in a timely manner
• Escalate denial trends to mitigate future denials and improve front-end claim edits
• Identify noncollectable accounts and perform accurate write-offs per policy

Skills

Healthcare billing

CPT/ICD-10 coding

Government programs

Managed care

Denials research

Microsoft Office

Mainframe billing software

Education

High School/GED

Associate's degree or technical training

Tools

Cerner

Epic

IDX

Job description

Responsibilities

About Texoma Care

Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years.

Accounts Receivable Specialist

Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Research claim denials by assigned payer/s to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows up on appeals, recognizing the payer-defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims, and maximize opportunities to enhance front-end claim edits to facilitate first pass resolution. Identifies noncollectable accounts and performs accurate and timely write-offs (e.g. no authorization), adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds “best practices” in day-to-day processes and workflow standardization to drive maximum efficiencies across the team.

Independence Physician Management (IPM)

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

As a TexomaCare employee, you will be part of a first-class organization offering:

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision, and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom.

www.uhs.com.

Qualifications

Education

High School Graduate/GED required. Technical School/2 Years College/Associate's Degree preferred.

Work experience

Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.

Knowledge

Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care, and commercial insurance, claim submission requirements, reimbursement guidelines, and denial reason codes. An understanding of the revenue cycle and how the various components work together is preferred.

Skills and Abilities

Excellent organization skills, attention to detail, research, and problem-solving ability. Results-oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills, including proficiency in Microsoft Office.

Equipment Operated

Mainframe billing software (e.g., Cerner, Epic, IDX) experience is highly desirable.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.