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Clerical - Accounting

Dallas, TX

Posted: 01/05/2024 Job Type: Temporary Job Category: Clerical Job Post ID: 10712120240201 Pay Rate: $22.00 / hour

Job Description


Position: AR Specialist II
Schedule: Monday - Friday 8: 00 a.M. - 4: 30 p.M.

Job Description:

The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third party claims within timely filing timelines, provide excellent customer service, Appeals and Recons follow-up in accordance with Departmental protocol with an emphasis on maximizing patient satisfaction and profitability. You will be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction

Proficiency with two or more receivables management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports and patient information inquiry.
Submits as assigned primary and secondary claims electronically or by paper each day to ensure timely reimbursement.
Provides customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with office protocol. Customer calls regarding accounts receivable should be returned within 2 business days to ensure maximum customer satisfaction.
Work all cases assigned to a Work Queue at the time of entry to ensure corrections and provide feedback to other areas and to ensure timely reimbursement. Meet established productivity standards while documenting properly all activity on accounts.
Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
Actively searches for solutions to problems and presents ideas and recommendations to Management.
Assists in the training of new employees relating to collection practices and other duties as assigned by Manager.
Ensures compliance to all State, Federal, and Central Business Office issues, including but not limited to patient-rights, Fair Debt Collections practices and other collection practices.
Retroactive verification of eligibility. Always attempts to verify inaccurate / missing information. Reviews accounts and sends appeal according to outline process provided by CBO.
Other duties as assigned.
Requirements

Associate Degree or High School Diploma with (4) four years as an Account Receivable analyst in a Hospital setting.
Professional Certification through AAHAM, HFMA, or EPIC preferred.
EPIC Software and Appeals and Denial Management experience
Thorough knowledge of and demonstrated proficiency in Microsoft Excel, & other MS software and computerized patient accounting applications.
Experience in medical terminology required
Must have experience with EPIC system
Experience with Appeals and Denials with Insurance companies
Experience/able to do Root Cause Analysis
Quick Learner #Robert
Please reference Job number: 107121

Additional Information

All Medical Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. About Us: All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Learn more about us at allmedical.com.

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