Patient Billing Specialist

SRC Texas Scottish Rite for Children; Dallas (TX); Vor Ort; USD 42.000 - 60.000; Vollzeit

Zusammenfassung

Scottish Rite for Children in Dallas is seeking a Patient Billing Specialist to join our hospital billing team. You will review patient accounts for timely and compliant UB-04 and HCFA-1500 claims, and ensure accuracy in CPT-4/ICD-9 coding in line with payor guidelines.

Responsibilities include editing and processing claims, identifying and resolving errors, and developing reports for reconciliation and trend analysis.

Qualifikationen

• High school diploma or equivalent required.

Aufgaben

• Review patient accounts for timely, compliant UB-04 and HCFA-1500 claims.
• Edit and process claims, identify errors and rejects, and resolve billing issues to generate clean claims.
• Develop reports for billing reconciliation and track trends.
• Review/change charge capture documents for CPT-4/ICD-9 updates.
• Research and monitor government and third-party payer billing regulations.
• Assist with training and development of billing methods and procedures.

Kenntnisse

Insurance billing

CPT/ICD-9 knowledge

Healthcare billing

Report generation

Ausbildung

High school diploma or equivalent

Jobbeschreibung

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title: Patient Billing Specialist

Location: Dallas - Hospital

Additional Posting Details: Monday - Friday 8:00 am - 5:00 pm

Job Description

• Review all patient accounts to ensure timely and compliant billing of Institutional (UB-04) and Physician (HCFA 1500) claims per government and third-party payor guidelines
• Edit and process claims efficiently, identify errors and rejects, resolve billing problems to generate clean claims
• Develop and utilize reports to perform billing reconciliation, as well as track trends and other potential implications
• Review and recommend changes to a department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT-4 and ICD-9 updates
• Continuously research and monitor topics that involve governmental and third-party payer billing regulations and guidelines
• Assist with training and development of billing methods and procedures

Required Skills/Abilities

• High school diploma or equivalent required
• Minimum 2 years of insurance billing experience in the healthcare field with a clear understanding of CPT-4 and ICD-9 codes

At Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and are an equal opportunity employer.

For questions, contact [e-mail].