AR II Specialist - Hybrid Position

900 Methodist Corporate; United States; Hybrid; USD 52.000 - 66.000; Vollzeit

Benefits dieser Stelle

Work from home after probation

Zusammenfassung

Methodist Mansfield Medical Center, part of Methodist Health System, seeks an Accounts Receivable II specialist with focus on professional billing to join our Central Business Office. You will manage AR follow-up for family and multi-specialty claims, addressing no response and denied claims to secure timely reimbursement.

Qualifications include 2–4 years in healthcare revenue cycle, EPIC/EHR proficiency, and CPC/CRCR is a plus.

Qualifikationen

• High School Diploma required
• College degree preferred
• Two to four years of experience in healthcare revenue cycle management
• Proficiency in EPIC and electronic health record (EHR) systems
• Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations
• Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus

Aufgaben

• Analyze and review outstanding claims, focusing on those with no response or denials
• Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately
• Investigate and address claim denials promptly
• Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement
• Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications
• Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments
• Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims
• Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment
• Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements
• Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement
• Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes
• Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable
• Be accountable for your performance
• Always look for ways to improve the patient experience
• Take initiative for your professional growth
• Be engaged and eager to build a winning team

Kenntnisse

Analytical skills

Communication

Detail-oriented

Prioritization

HIPAA compliance

Ausbildung

High School Diploma

College degree preferred

Tools

EPIC

EHR systems

Billing software

Jobbeschreibung

Hours of Work : 40 Days Of Week : Monday through Friday Work Shift :

Job Description : We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) location. The ideal candidate will possess a strong background in A/R follow up for family and multi-specialty claims, able to identify, address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement.

Job Requirements

• High School Diploma required
• College degree preferred
• Two to four years of experience in healthcare revenue cycle management.
• Proficiency in medical billing software EPIC and electronic health record (EHR) systems.
• Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations.
• Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims.
• Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders.
• Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting.
• Ability to prioritize tasks, meet deadlines, productivity goals and work efficiently in a fast-paced environment.
• Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.

Job Responsibilities

• Analyze and review outstanding claims, focusing on those with no response or denials.
• Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately.
• Investigate and address claim denials promptly.
• Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement.
• Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications.
• Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments.
• Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims.
• Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment.
• Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements.
• Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement.
• Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes.
• Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable.
• Be accountable for your performance.
• Always look for ways to improve the patient experience
• Take initiative for your professional growth
• Be engaged and eager to build a winning team

Position requires 90-day probationary period to be successfully completed before being approved to work from home. WFH schedule based on business needs.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023 Top 10 Military Friendly® Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly® Employer, 2023 Methodists... (repeated paragraphs omitted for brevity in actual output)