Revenue Cycle & Account Receivables Specialist

Revenue Cycle And Account Receivables Specialist

Child and Family Guidance Center is seeking a client centered Revenue Cycle and Account Receivables Specialist at our Harry Hines location in Dallas, Texas. The Revenue Cycle and Account Receivables Specialist provides timely billing, accounts receivable follow-up, and final resolution of assigned accounts; ensures appropriate contractual adjustments are taken on accounts, research remittance advice to verify accurate payer reimbursement, and proactively works aging accounts to maximize reimbursement and reduce outstanding receivables and responsible for claim submission, payment posting, denial management, appeals, and collection activities in accordance with payer guidelines and organizational policies.

Duties/Responsibilities:

• Maintain a professional, patient-focused approach in all verbal and written communications.
• Answer client phone calls and voicemails daily, assisting with account balance inquiries, billing questions, payment status, and other account-related concerns.
• Review and correct claims for coding and billing accuracy to ensure clean claim submission and maximize reimbursement.
• Submit and manage primary, secondary, and tertiary insurance claims.
• Analyze EOBs, ERAs, payer correspondence, and remittance advice to ensure accurate reimbursement and identify recovery opportunities.
• Post payments, adjustments, refunds, and contractual write-offs accurately.
• Research, resolve, and follow up on denied, rejected, underpaid, and unpaid claims within filing deadlines.
• Manage accounts receivable by analyzing aging reports, prioritizing follow-up, and reducing outstanding balances.
• Initiate and track appeals, reconsiderations, and corrected claims as needed.
• Communicate with insurance carriers to resolve claim, authorization, reimbursement, and payment issues.
• Identify billing trends, denial patterns, and payer issues, escalating concerns to management.
• Maintain thorough account documentation and monitor work queues to ensure timely resolution and productivity goals are met.
• Collaborate with the Billing Manager on reimbursement, AR, and operational issues.
• Support special projects and additional departmental responsibilities as assigned.
• Ensure compliance with HIPAA, payer requirements, and organizational policies while maintaining confidentiality.

Minimum Skill Requirements:

• Knowledge of managed Care, Medicaid, Medicare, and commercial insurance reimbursement processes.
• Understanding of behavioral health billing, CPT, HCPCS, and ICD-10 coding standards.
• Experience with accounts receivable management, denial resolution and revenue cycle operations.
• Proficiency in medical terminology and healthcare billing practices.
• Strong knowledge of payer reimbursement practices and revenue cycle operations.
• Excellent analytical, problem-solving, and claim resolution skills.
• Strong organizational skills, attention to detail, and ability to meet performance goals.
• Ability to work independently and collaboratively in a team environment.

Minimum Knowledge &

Educational Requirements:

• 3+ years of healthcare billing and accounts receivable experience, including insurance billing, follow-up, denial management, collections, appeals, and reimbursement resolution.
• High School Diploma/GED required
• Experience with Medicaid, Medicare, and commercial payers.
• Behavioral health and/or outpatient billing experience preferred.
• Credentialing knowledge and Netsmart experience preferred.

Skills:

• Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job.
• Strong written and verbal communication skills.
• Keyboard proficiency (approximately 50 words/minute).
• Ability to operate a personal computer and related software applications.
• Strong attention to detail.
• Ability to multitask and accept Billing Manager or Director of Revenue Cycle Management prioritization of job duties.
• Ability to problem solve under pressure.
• Ability to communicate and interact professionally with others.
• Understanding of and commitment to appropriate protection of confidential patient information.
• Must be able to have a HIPAA secure environment when telecommuting.

Physical Demands:

• Ability to…