Billing & Collections Specialist I

Paycom - ATS; Irving (TX); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

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Job summary

U.S. Oral Surgery Management in Irving, TX is seeking a Billing/Collections specialist to manage patient and insurance balances, research denials, and rebill claims to maximize reimbursement.

The role requires strong communication, detail orientation, and MS Office proficiency, with at least 2 years in medical billing/collections. You will coordinate with practice partners and insurers, update systems, and produce aging reports to ensure timely account resolution.

Qualifications

• High School diploma, GED or equivalent.
• 2+ years of medical/dental billing/collections or office experience.
• Excellent oral and written communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Problem-solving skills and attention to detail.
• Proficient in computers and Patient Management Software.
• Knowledge of EOBs, copays, coinsurance, deductibles and denial codes.
• Auditing accounts from start to finish with little help.

Responsibilities

• Follow up with insurance and patient balances.
• Reach out to patients about outstanding balances when denied by insurance.
• Research denials and rejections and rebill claims.
• Communicate with practice partners, coworkers, and insurers.
• Update billing systems and send statements to patients.
• Run aging reports and monitor buckets weekly.
• Issue adjustments and refunds per policy and state law.
• Maintain accuracy rate 97% or better.

Skills

Multitasking

Oral communication

Written communication

Problem solving

Attention to detail

Team player

MS Office

Patient Management Software

Billing/collections experience

Education

High School diploma or GED

Equivalent combination of education and experience

Tools

My Transworld Health

My TSI

Billing systems

MS Office

Job description

U.S. Oral Surgery Management500 E. John Carpenter Freeway, Suite 300 | Irving, Texas 75062POSITION PURPOSE:The primary duties and responsibilities include the ability to follow up with insurance and/or patient balances. Actively reach out to patients to discuss outstanding balances when denied by insurance and collect balances. Research denials and rejections and correct the claims to rebill. Communicate with and support other RCM staff patients, partner practices and insurance companies to maximize reimbursement and ensure rapid account resolution.PRINCIPAL RESPONSIBILITIES AND DUTIES:Communicate with patients, practice partners and coworkers by answering telephone, emails messages and TEAMs messages to assist with any questions or apprehensions regarding balances, billing, collections and reimbursement.Utilizes MY Transworld Health website to send patient accounts to profit recovery and collections. Updates My TSI with additional information regarding patients’ failure to pay remaining balances if patient submits a dispute.Send email with statements to update patients on remaining balances and bad debt.Maintains a record for practice with all sent statements and emails regarding billing to patients.Updates billing systems to reflect status of collection and patient payments.Identifies possible issues or concerns that may impede insurance/patient payments and collaborates with manager to construct a resolution for issue.Provides a thorough explanation of benefits to patients, and properly explains reasoning behind balances and collections.Runs aging report weekly, monitors bucket which includes money in insurance claims that still needs to be collected and follows up with insurance to find reasoning behind outstanding, rejected or pending claims. Reviews errors and provides resolution to issues. (Manager may assign report via email)Initiates review of patient accounts with credit balances and issues refunds when necessary.Ensures insurance pays correctly and issues adjustments following state law and USOSM protocol.Create contact notes with reminder dates to ensure claims are follow- up on timely.Pulls zero pay and applies insurance adjustment, updating billing category.Follows appropriate procedures before moving patients balance to collection agency.Processes/or gives to poster any credit cards when taken over the phone.Communicates with practice on accounts needing discretionary adjustments posted.Must maintain accuracy rate 97% or betterPerforms additional duties as assigned by manager or director.MINIMUM QUALIFICATIONSBasic Knowledge & Competencies:Ability to manage multiple priorities with frequent interruptionsExcellent oral and written communication skillsAbility to meet deadlinesProblem-solving skillsExceptional human relations skillsMust be a team playerProficient in use of computers and Patient Management SoftwareAdding and subtracting math skillsMust possess knowledge of EOB’s and understand co pay, coinsurance, deductibles and denial codesAttention to detail and can prioritize independentlyIntermediate knowledge of MS OfficeAbility to understand fee schedulesAble to audit an account from start to finish with little helpPrevious Experience/Education:High School diploma, GED or equivalentAn equivalent combination of education and experience is acceptable2+ years of experience in medical/dental billing/collections or office experiencePHYSICAL REQUIREMENTSWhile performing the duties of this job, the employee is regularly required to sit for prolonged periods. Occasional lifting and bending to carry boxes and supplies, up to 25 pounds, may be required.