Medical Billing Senior Account Representative (Dallas, TX)

99mgmt; Dallas (TX); On-site; USD 45,000 - 60,000; Full time

Job summary

A leading company in healthcare management is seeking a full-time Medical Billing Senior Account Representative in Dallas, Texas. This role involves managing insurance balances, analyzing data trends, and ensuring efficient claims processing. Candidates should have strong coding skills and a commitment to client satisfaction, with additional certifications preferred. Join a team dedicated to supporting healthcare providers with operational excellence.

Benefits

401(k)

Health insurance

Dental insurance

Life insurance

Paid time off

Vision insurance

Qualifications

• At least one year of experience handling physician office claims.
• Preference for experience with internal medicine, family medicine, and cardiology.
• Proficient in ICD-9-CM, ICD-10-CM, CPT coding guidelines.

Responsibilities

• Review outstanding insurance balances and coordinate with payers.
• Conduct coding audits and present findings for improvements.
• Process 40-60 claims daily while maintaining quality expectations.

Skills

Proficiency in MS Office Suite

Analyzing data

Excellent command of ICD-9-CM, ICD-10-CM, and CPT-4

Ability to handle stressful situations

Strong work ethic

Education

High school diploma or equivalent

Associates degree

Coding and billing certification

Tools

EMR experience

E-Clinical Works

Athena

Job description

We are seeking a full-time Medical Billing Senior Account Representative for our corporate office located in Dallas, Texas off 635 and Abrams.

This position handles a variety of accounts receivable (AR) follow-up including, but not limited to, coding, demonstrating, and executing in-depth knowledge of all standard medical billing operating procedures, communicating issues, trends, concerns, and suggestions to leadership.

Responsibilities include:

• Reviewing outstanding insurance balances
• Thorough working knowledge of outpatient/hospital coding in multiple medical specialties.
• Identifying and resolving issues preventing finalization of claim payments which may include coordinating with payers, patients, and clients when appropriate
• Excellent ability to conduct coding audits to evaluate quality performance measures and using the findings to create written reports with recommendations; and then present education and feedback to facilitate improvement of documentation and coding.
• Exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation.
• Analyzing data and recording any noticed trends
• Recommending solutions to improve first-pass denial rates and reduce the age of overall AR
• Processing 40-60 claims daily
• Answering inbound customer/patient calls and questions
• Collecting balances on accounts
• Reviewing credit balances and validating reimbursement requests
• Initiating reallocation of refunds when appropriate
• Maintaining an in-depth working knowledge of the various applications associated with the workflows
• Ensuring all workflow items are completed within the set turn-around-time within quality expectations

Skills and Qualifications:

• High school diploma (other equivalents accepted) or equivalent combination of education and experience in healthcare required (Associates degree preferred)
• Proficiency in MS Office Suite
• EMR experience required; E-Clinical Works and/or Athena preferred
• At least one year of experience handling physician office claims across various specialties
• Experience with internal medicine, family medicine, cardiology, pain management, or OBGYN preferred
• Coding and billing certification preferred
• Excellent command of the ICD-9-CM, ICD-10-CM, and CPT-4 classification systems
• Proficient and in-depth knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS and Evaluation and Management coding guidelines.
• Ability to handle stressful situations in a professional manner
• Ability to set priorities and work independently while maintaining a high degree of accuracy
• Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction
• Experience with provider enrollment preferred but not required

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule: Full-Time Monday through Friday, 8:00 AM - 5:00 PM (flexible start time). No weekends or after hours.

Learn more about our 99 MGMT Office and our culture by visiting www.99mgmt.com or our Facebook page!

99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients - by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, OBGYN, and more.