Revenue Cycle Specialist
If you're looking for a fast-paced, high volume growth opportunity with great benefits and the ability to work remote. This may be the role for you.
Work location: Will be working remote, based out of theTexas Health Corporate Office, 612 E. Lamar in Arlington, TX 76011.
Work hours: Full Time, 40 hours per week, Monday to Friday. Growth potential and complete benefits package available.
Department highlights: The overall health and well-being of our team members is a high priority. Self-care is not only supported but highly encouraged.
Fun collaborative environment. Your voice will be heard!
We encourage growth in your career.
Opportunities to work on special projects.
Diversity and culture is celebrated within our team!
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 escalate 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.
Additional perks of being a Texas Health employee
Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
A supportive, team environment with outstanding opportunities for growth.
Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.
Here's What You Need:
Education
H.S. Diploma or Equivalent (GED), required
Associate's Degree Business or healthcare related field, preferred
Experience
Required - 2 Years PB AR management, insurance follow-up, insurance billing or relevant revenue cycle experience.
Preferred - Epic knowledge.
Payor knowledge.
Denial Resolution/Reconsideration and Appeals
Claims Processing
Payor Relations
Explanation of Benefits
Neurology, Surgery, Ortho, Neuro and Workers Comp experience
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.