Revenue Integrity Specialist — Medical Billing & Coding

Parkland Community Health Plan; Dallas, Northern (TX, KY); Híbrido; USD 42 000 - 60 000; Tempo integral

Resumo da oferta

Parkland Community Health Plan is seeking a Departmental Charge Specialist to research charge discrepancies and collaborate with departments to correct issues. The role focuses on accurate coding, billing, and revenue optimization within a hospital setting, supporting PM&R outpatient operations.

The position requires a High School Diploma and 3 years of hospital or business office experience in medical billing, registration, or coding, with strong knowledge of CPT/ICD-9 coding and third-party

Qualificações

• Must have knowledge of third party payors and understand managed care and insurance coverage, eligibility and explanation of benefits.
• Must have working knowledge of CPT and ICD-9 coding.
• Must be able to demonstrate a working knowledge of personal computers, to include word processing, spreadsheet, and database software.
• Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to resolve complex financial issues.
• Must demonstrate a positive demeanor, good leadership skills, good verbal and written communication skills, and be professional in both appearance and approach.
• Must demonstrate teamwork and interpersonal skills.

Responsabilidades

• Researches and monitors areas of compliance, workflow, business processes and recommends policies, procedures and other changes to improve consistency and effectiveness.
• Assists in the management/reconciliation of patient accounts with charge discrepancies by researching issues and working with Patient Financial Services to make account adjustments in a timely manner.
• Monitors and tracks staff quality and productivity by auditing accounts to ensure adherence to policies and procedures.
• Serves as a lead resource for scheduling within outpatient PM&R to achieve effective and efficient operations.
• Works with PM&R management to coordinate workflow activities. Identifies ways to improve workflow and customer satisfaction and makes recommendations to management to improve upon these areas.
• Provides daily staff support for all functional areas in outpatient PM&R.

Conhecimentos

Medical billing knowledge

CPT/ICD-9 coding

Analytical skills

Attention to detail

Communication skills

Teamwork

Formação académica

High school diploma

Ferramentas

Word processing

Spreadsheets

Databases

Descrição da oferta de emprego

Parkland Community Health Plan is seeking a Departmental Charge Specialist to research charge discrepancies and collaborate with departments to correct issues. The role focuses on accurate coding, billing, and revenue optimization within a hospital setting, supporting PM&R outpatient operations.

The position requires a High School Diploma and 3 years of hospital or business office experience in medical billing, registration, or coding, with strong knowledge of CPT/ICD-9 coding and third-party