Revenue Cycle Associate - REMOTE (Billing)

Steward Health Care; Dallas (TX); Remote; USD 40,000 - 55,000; Full time

Job summary

Steward Health Care is seeking a Revenue Cycle Associate in Dallas, TX, responsible for managing claims resolution and ensuring compliance with insurance policies. Ideal candidates are detail-oriented with strong communication skills and familiar with medical coding and third-party procedures. Join a leading healthcare system focused on proactive care and community wellness.

Qualifications

• Knowledge of basic medical coding/terminology.
• Ability to read, understand, and follow instructions.
• Detail-oriented with strong organizational skills.

Responsibilities

• Resolve outstanding claims based on third-party processing rules.
• Provide professional assistance to coworkers and patients.
• Research and submit appeals to insurance companies.

Skills

Medical Coding

Attention to Detail

Customer Communication

Education

High School Diploma

Certification in Medical Billing or Coding

Job description

Location: Steward Health Care

Posted Date: 6/13/2024

Job Type: Full Time

Department: 1301.42071 CVBO

This position is responsible for the resolution of outstanding and/or denied claims based on third-party claim processing rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or manager.

• Meets goals and objectives in assigned area;
• Complies daily with departmental policies and procedures;
• Performs collection activity to ensure proper resolution and reimbursement on claims;
• Provides thorough, courteous, and professional assistance to coworkers and patients;
• Ensures that all claims are billed and collected and meet all government mandated policies for integrity and compliance;
• Collaborates with hospital departments in the resolution of accounts;
• Resolves claims processing issues with third-party payers and provides all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies;
• Resubmits clean and accurate claims to insurance companies in a timely and compliant manner;
• Researches, prepares, and submits appeals to insurance companies;
• Details all actions taken on accounts with clear and concise notes;
• Monitors and recognizes denials and/or issues that may be trends and escalates to supervisor as needed;
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.

• Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices is a plus;
• Understands payer guidelines related to effective claim resolution;
• Knowledgeable and proficient with payer websites and other useful resources;
• Knowledge of revenue cycle and/or business office procedures;
• Highly detail oriented and organized;
• Ability to read, understand, and follow oral and written instructions; and
• Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.

About Steward Health Care
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

For more information, visit steward.org