Billing & Appeals Specialist - Reimbursement Pro

Stephenville-Medical-; Stephenville (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Stephenville Medical Center in Stephenville, TX, is seeking a Billing Clerk (non-exempt) responsible for maximizing payments from insurance by reviewing explanation of benefits and pursuing appeals as needed, while complying with government regulations and SMSC policies.

Responsibilities include processing accounts receivable and appeals within 48 hours, ensuring 100% accuracy of follow-up, handling unpaid balances and credits, and communicating professionally with payers, providers, patients

Qualifications

• High School Diploma or equivalent required.
• Knowledge of Medicaid claim reimbursement and filing procedures a plus.
• Detail oriented with ability to work independently and meet deadlines.
• Good communication skills with ability to interact with payers, providers, patients and co-workers.

Responsibilities

• Process AR tasks and appeals to maximize reimbursements.
• Review Explanation of Benefits and pursue appropriate appeals.
• Ensure timely and accurate follow-up on unpaid balances and credits.
• Maintain confidentiality and adhere to government regulations and SMSC policies.

Skills

Communication skills

Detail oriented

Typing 35 WPM

Public relations with payers

Education

High School Diploma or equivalent

Tools

Computer proficiency

Job description

Stephenville Medical Center in Stephenville, TX, is seeking a Billing Clerk (non-exempt) responsible for maximizing payments from insurance by reviewing explanation of benefits and pursuing appeals as needed, while complying with government regulations and SMSC policies.

Responsibilities include processing accounts receivable and appeals within 48 hours, ensuring 100% accuracy of follow-up, handling unpaid balances and credits, and communicating professionally with payers, providers, patients