Revenue Cycle Specialist II - Physician Billing - Child

Texas Health Resources; Texas; Remote; USD 50,000 - 70,000; Full time

Benefits offered by this job

Remote position

Job summary

Texas Health Resources, Inc. seeks a Revenue Cycle Specialist II - Physician Billing to expeditiously maximize payment of insurance claims, resolve edits and denials, and manage timely follow-up across Medicare, Medicaid and commercial payors.

This is a remote-friendly role with standard 8-to-5 hours, requiring documentation of follow-up notes, collaboration with the team, adherence to HIPAA, and continuous improvement of collection processes.

Qualifications

• Strong work ethic and professionalism.
• Solid understanding of health insurance billing, follow-up, credits, regulations, and payer requirements.
• Proficient with EMR systems and Microsoft Office."

Responsibilities

• Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner.
• Document clear, concise, and complete follow up notes in system for each account worked.
• Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output.
• Identify, analyze, and elevate trends impacting AR collections.
• Exceeds established productivity goals.
• Complete special projects to improve team performance, as assigned.
• Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department’s revenue cycle operations.
• Ensure protection of private health and personal information.
• Adheres to all HIPAA compliance requirements.
• Participate in educational activities and attend team meetings.
• Remain current on collection and follow up procedures of various payors and specialty departments.
• Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership team.
• Demonstrate strong technical skills and account resolution abilities.

Skills

Health insurance billing

EMR proficiency

HIPAA knowledge

Communication skills

Billing experience

Team collaboration

Self-motivation

Attention to detail

Epic EMR experience

Independent work

Education

High School Diploma

Associate degree in business/healthcare

Job description

Revenue Cycle Specialist II - Physician Billing

Bring your passion to Texas Health so we are Better + Together

Work Location: Remote: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011

Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights

• Gain a sense of accomplishment by contributing to a teamwork environment.
• Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
• Remote Position

What You Will Do

• Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner.
• Document clear, concise, and complete follow up notes in system for each account worked.
• Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output.
• Identify, analyze, and elevate trends impacting AR collections.
• Exceeds established productivity goals.
• Complete special projects to improve team performance, as assigned.
• Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department?��s revenue cycle operations.
• Ensure protection of private health and personal information.
• Adheres to all HIPAA compliance requirements.
• Participate in educational activities and attends team meetings.
• Remain current on collection and follow up procedures of various payors and specialty departments.
• Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership team.
• Demonstrate strong technical skills and account resolution abilities.

100%

What You Need:

Education

• H.S. Diploma or Equivalent Req
• Associate's Degree Business or healthcare related field Pref

Experience

• 2 Years PB AR management, insurance follow-up, insurance billing or relevant revenue cycle experience Req

Skills

• Possess a strong work ethic and a high level of professionalism.
• Demonstrates high level understanding of health insurance billing, follow-up, credits, regulations, and payer requirements.
• Proficient computer and EMR skills, including but not limited to, Microsoft Office suite applications such as Word and Excel.
• Strong communication and organizational skills.
• Proven experience in a billing environment.
• Ability to shape communications to the needs of the audience.
• Knowledgeable of HIPAA, state and federal regulations governing confidentiality, release of information and record retention.
• Familiar with Electronic Medical Record (EMR) functionality, document imaging, and workflow.
• Epic Care Connect EMR experience and certifications are a plus.
• Must be a dependable self-starter and deadline driven.
• Must have the ability to work well independently and in a team setting to meet organizational goals.
• Must demonstrate solid understanding of key revenue cycle workflows, technical system, and metric goals.

Supervision

Individual Contributor

ADA Requirements

Working Indoors 67% or more

Physical Demands Sedentary