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Revenue Cycle Specialist
5310 Harvest Hill Road, Suite 290 Dallas, TX 75230
Our client, located in the Galleria area of Dallas, TX, is in search of several Revenue Cycle Specialists on a direct hire basis.
Largest Dermatology group in Texas and the 3rd largest in the Unites States.
Revenue Cycle Specialist Role:
In this position, you will be responsible for data entry for medical billing from insurance companies (payors) and patients. You will be the liaison between practices, clinics, the business office, payors, and patients.
Establish and maintain contact with payor account representatives.
Take inbound calls and make outbound calls pertaining to accounts.
Maintain accurate information regarding patient accounts receivable.
Responsible for accurate and timely posting of patient and insurance transactions including charges, payments, adjustments and refunds into the practice management system.
Process patient and insurance refunds and issue refund checks to appropriate parties
Key data into computer to maintain billing records and prepare insurance forms with information such as names of insurance company and policy holder, policy number, and physician diagnosis.
Contact insurance companies to verify patient coverage and obtain information concerning extent of benefits.
Generate appropriate paperwork, including insurance claim forms (original and re-filed) and collection letters.
Mail monthly statements to patients.
Review insurance claim forms for accuracy, retrieving and attaching appropriate dictation for claim, as needed.
Review insurance payments EOB’ s, including Medicare and Medicaid payments for accuracy in account information and demographics.
Determine adjustments of claims paid at the out-of-network rate to in-network rates, and process write-offs on these adjustments.
Answer patients' questions regarding statements and insurance coverage, answer telephone in a prompt, courteous, and helpful manner, screening calls, directing calls, providing information, answering questions, and taking accurate messages.
Respond to all inquiries received from patients and payors either by phone or written request
Follow-up on unpaid insurance claims after denial, to obtain settlement of claim.
Review accounts receivable activities and call on outstanding balances or claims.
Handle transactions necessary on discharged patients.
Complete and file all necessary paperwork for services rendered, i.e., charge tickets, patient forms, medical records, etc.
Revenue Cycle Specialist Background Profile:
High School Diploma or equivalent
3+ years’ experience in medical billing and accounting experience
Strong experience of medical billing procedures and medical insurance, including credit and collection procedures required.
Strong experience of Medicare rules and regulations.
Experience with medical accounts receivable collection procedures, including knowledge of insurance correspondence required.
Strong attention to detail skills
Professional attitude and demeanor, dependable and reliable
Strong organizational skills and desire to work in a fast-paced work environment.
Ability to follow and provide verbal and written instructions using excellent grammar and spelling to avoid mistakes and misinterpretations.
Strong interpersonal skills and customer service skills
Ability to communicate effectively in English, both verbally and in writing
Strong problem-solving skills as well as mathematical and analytical ability
Basic to intermediate computer skills – specifically Word, Excel, and Outlook
Knowledge of state and federal regulations
General understanding of HIPAA guidelines
Features and Benefits:
Excellent benefit package that includes Medical, Dental, and Vision insurance.
A generous paid time off and paid holiday package along with a travel reimbursement program.
Disclaimer: sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage you to call one of our branch locations to verify the status on any job.
Esmeralda Guzman joined Frontline Source Group as a Recruiter for contract positions. She quickly rose in the company to staffing for contract, temp-to-hire and direct hire positions as well as earning her Certified Staffing Professional (CSP) designation. She is noted by her candidates for being focused and having a positive attitude. Esmeralda is willing to put in the long hours and commitment to sourcing the best talent in the industry! She invites both candidates and clients to contact her by phone, text or email any time of the day.
Our process is designed to save you time. There’s no need to come in to register. All you need to do is submit your resume through the “Search Jobs” link or the “Upload Resume” link. If you are a fit for this role, and have additional questions, Esmeralda invites you to contact her below.