Medical Billing Accounts Receivable

Job Description

This role is a direct hires only, we appreciate independent recruiters and per our policy we kindly request NO SOLICIATIONS or STAFFING AGENCIES including Billing RCM companies contacting us during the hiring process.

We are seeking a highly motivated and detail-oriented Medical Billing Accounts Receivable professional to join our Internal Medicine team, our clinic is located 20 minutes South of Downtown Dallas. As a key member of our team, you will be responsible for managing the billing and collections process, ensuring timely and accurate payment from insurance companies and patients. Your attention to detail with ability to multitask and work collaboratively with other team members will be critical to your success in this role.

You will have the opportunity to work with a diverse patient population and make a meaningful impact on their healthcare experience. This is an in-person
, Full-time (40 hours per week) position Monday to Friday from 8am to 5pm, and 1 Saturday per month 9am to 5pm.

IN PERSON POSITION ONLY. NO REMOTE or Hybrid CANDIDATES WILL BE ACCEPTED

401K/ Profit Sharing/ Medical, Vision, Dental Insurance, Life Insurance, Short and Long Term Plans

• High school diploma or equivalent
• 2+ years of experience in medical billing and Medical Accounts Receivable collections (required)
• Knowledge of medical billing codes and terminology
• Knowledge and experience of insurance benefits
• Experience interpreting and working ERA & EOB's
• Prior-Authorization in diagnostic testing
• Strong Collections skills
• Billing experience in an Internal Medicine and /or Family Medicine setting
• Proficiency in Microsoft Office, specifically Excel and EMR PM software
• Experience with identifying reasons for denials and appealing denials
• Must have working knowledge of all Commercial Insurance, Medicare Advantage Plans and Medicaid Manage Care Plans (required)

• Experience with electronic medical records (EMR) systems eClinical
  
  Works is a plus
• Appointment Scheduling
• Insurance Verification
• Medical Account Receivable Collections
• Patient Accounts Collections
• Prior Authorizations for Diagnostic Medical services
• Denial Management
• Understand payer contracts, fee schedules to ensure the claims have been processed accordingly
• Experience working with healthcare insurance codes and documentation
• Certification in medical billing and coding (e.g. CPC, CCS-P) is a plus but not required

• Manage the billing and review aged accounts, identify, and appeal unpaid/denied claims
• Verify insurance coverage and obtain necessary Prior-authorizations for services
• Communicate with insurance companies and patients to resolve billing issues
• Maintain accurate and up-to-date patient records and billing information
• Provide administrative support to the Front Office, answering phones, updating patient demographics and scheduling appointments
• Post Payments accurately, and charge entry
• Responsible for answering all patient billing questions arising from services rendered
• Generate A/R reports, weekly, and monthly billing summary reports for weekly meetings
• Timely follow-up and resolution of all outstanding A/R including unpaid claims for all payers
• Manage patient accounts and monitor account details for non-payment, and other irregularities
• Collaborate with other team members to ensure balances are accurate and generate patient statements
• Investigate and document actions taken to resolve billing discrepancies, as well as unusual charges and credits
• Back up to front office staff, assist with check-in process, collect patient payments, update insurance information, and ensure patients update PCP as necessary

In this role, you will utilize your strong attention to detail, analytical skills, and ability to work collaboratively with others to ensure accurate and timely payment for medical services. You will also use your knowledge of medical billing codes and terminology, as well as your proficiency in PM software and Microsoft Office, to manage the billing and collections process. Additionally, your experience with electronic medical records (EMR) systems and certification in medical billing and coding (e.g. CPC, CCS-P) will be beneficial in this role.