Accounts Receivable Specialist — Revenue Cycle Pro

Caris Life Sciences; Irving (TX); Vor Ort; USD 42.000 - 65.000; Vollzeit

Zusammenfassung

Caris Life Sciences in Irving, TX is seeking an Accounts Receivable Specialist to review and resolve outstanding denied claims with Medicare, Medicaid, and Commercial insurers. You will follow up on claim statuses, research rejections, and submit appeals within timely filing.

The role requires 2–4 years in medical billing, strong EOB understanding, attention to detail, and proficiency in Microsoft Office and billing software.

Qualifikationen

• High School diploma or equivalent required.
• 2-4 years of experience in a related industry.
• Strong understanding of Explanation of Benefits (EOBs) to determine denial reasons and actions.
• Proficient in Microsoft Office (Word, Excel, Outlook) and internet usage for business.
• Knowledge of CPT, ICD-10.

Aufgaben

• Review insurance denials and take appropriate action.
• Check claims status via phone or portal.
• Submit Medical Records upon request and follow up on submission.
• Submit HCFA's claims to insurers that do not accept electronic claims.
• Submit retro authorization and work with payors to resolve disputes.
• Identify and correct billing errors and suggest process improvements.
• Utilize payor portals to gather claims status information.
• Respond to inquiries from insurers, patients, and client representatives with professional service.
• Ensure billing practices comply with HIPAA and CMS guidelines.
• Communicate with insurers daily and meet production and quality standards.
• Review rejections and make necessary corrections.
• Prepare and submit appeals with supporting documentation within timely filing.
• Submit corrected claims to insurers.

Kenntnisse

HIPAA compliance

Communication skills

Excel

Medical billing software

ICD-10 CPT knowledge

Attention to detail

Problem solving

Teamwork

Ausbildung

High School diploma or equivalent

Associate's degree in accounting/finance/healthcare administration

Tools

Medical billing software

Jobbeschreibung

Caris Life Sciences in Irving, TX is seeking an Accounts Receivable Specialist to review and resolve outstanding denied claims with Medicare, Medicaid, and Commercial insurers. You will follow up on claim statuses, research rejections, and submit appeals within timely filing.

The role requires 2–4 years in medical billing, strong EOB understanding, attention to detail, and proficiency in Microsoft Office and billing software.