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Accounts Receivable Specialist
Apply
$48k-60k (estimate)
Full Time | Ambulatory Healthcare Services 1 Week Ago
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Houston Methodist is Hiring an Accounts Receivable Specialist Near Houston, TX

At Houston Methodist, the Accounts Receivable Specialist position is responsible for billing and follow up of insurance or institutional accounts receivable and is considered an expert in billing and collection guidelines for insurance or institutional accounts. Duties include preparing and processing claims, clearing billing edits, claim validation and submittal, and receivable follow up (e.g. collections, payment review, denials management), and where applicable transfer of charges, record maintenance, ensuring accurate registration, and maintaining applicable documentation. This position ensures that all claims billed to the insurance or client are compliant with state and federal regulations, grant provisions or provider agreements, and all payments received are timely and correct. The Accounts Receivable Specialist interacts with all Central Business Office (CBO) sub-units and other hospital service areas daily and cultivates good business relationships to promote harmony and effective communication to resolve patient and billing concerns post care.

PEOPLE ESSENTIAL FUNCTIONS
  • Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results
  • Collaborates with other departments and/or vendors as needed to ensure claims are billed and resolved compliantly and timely
  • Strikes a balance between maintaining trustful relationships and ensuring timely account resolution. Exhibits professionalism and trustworthiness
SERVICE ESSENTIAL FUNCTIONS
  • Responds appropriately, thoroughly and timely to customer requests, questions, or referrals
  • Reviews incoming correspondence and takes appropriate action. Responds promptly to payor's request for additional information/documentation
  • Informs manager of payor trends or any problems or changes in payor requirements, including any barriers or obstacles
QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Meets or exceeds stated departmental standards for Key Performance Indicators (KPI) (e.g., inventory management, productivity, quality reviews, agings, etc.)
  • Fully utilizes available technology to submit claims or client invoices timely, accurately, and compliantly
  • Provides clear and concise documentation of every action taken on an account in the system notes. Provides balance detail to clearly identify account resolution and next responsible party or next steps to resolution as needed
FINANCE ESSENTIAL FUNCTIONS
  • Accurately and compliantly resolves insurance or institutional balance after payment or adjudication, and correctly identifies any patient liability (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or client terms
  • Works receivable inventory within department standards including, as applicable: maintaining list of institutional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection efforts; establishing or correcting new client or patient accounts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority; submitting appeals on denied claims to ensure appropriate reimbursement as needed.
  • Where applicable and as prompted by management, provides status of the outstanding receivables or inventory including outstanding balances, charging practices and payment or payer trends, and any barriers or obstacles to payment
  • Uses resources effectively and efficiently. Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Stays current on collection procedures related to various payors, industry trends or client agreement terms. Actively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.). Applies new learning
  • Generates and communicates new ideas and suggestions that will improve quality or service
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
EDUCATION
  • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
  • Some college education preferred
WORK EXPERIENCE
  • Five years of experience in hospital billing and insurance follow up, preferably in a large volume setting

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$48k-60k (estimate)

POST DATE

04/20/2024

EXPIRATION DATE

06/18/2024

WEBSITE

houstonmethodist.org

HEADQUARTERS

CYPRESS, TX

SIZE

7,500 - 15,000

FOUNDED

2010

CEO

GABRIELA NICOLA

REVENUE

$5B - $10B

INDUSTRY

Ambulatory Healthcare Services

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The job skills required for Accounts Receivable Specialist include Accounts Receivable, Billing, Effective Communication, etc. Having related job skills and expertise will give you an advantage when applying to be an Accounts Receivable Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Accounts Receivable Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Accounts Receivable Specialist positions, which can be used as a reference in future career path planning. As an Accounts Receivable Specialist, it can be promoted into senior positions as an Accounts Receivable Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Accounts Receivable Specialist. You can explore the career advancement for an Accounts Receivable Specialist below and select your interested title to get hiring information.

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If you are interested in becoming an Accounts Receivable Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Accounts Receivable Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Accounts Receivable Specialist job description and responsibilities

They prepare official receipts and coordinate with account payable specialists from other companies with pending payables.

02/02/2022: Kansas City, KS

The accounting specialist may use protections within accounting software like passwords to limit access.

12/28/2021: Greensboro, NC

Senior accounts receivable specialists follow established accounts receivable and account payable policies, guidelines, control processes, and procedures.

03/07/2022: Bellingham, WA

The specialists make sure that activities associated with the payables and receivables are accurate.

01/06/2022: Tuscaloosa, AL

Accounts receivable specialists frequently work simultaneously on multiple projects with urgent or tight deadlines.

03/09/2022: Peoria, IL

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Accounts Receivable Specialist jobs

Accounts receivable specialists are members of the organization's finance or accounting department.

02/15/2022: Salt Lake City, UT

Accounting Clerks are known to earn similar educational levels when compared to Accounts Receivable Specialists.

01/27/2022: Lima, OH

According to resumes from both Accounts Receivable Specialists and Accounting Administrators, some of the skills necessary to complete the responsibilities of each role are similar.

01/03/2022: Ogden, UT

Reconciled multiple Accounts Receivable reports to related general ledger accounts daily, researched and resolved any problems.

02/18/2022: Twin Falls, ID

Specialists are also highly trained on the competencies that are required of their specialty.

02/14/2022: Orlando, FL

Step 3: View the best colleges and universities for Accounts Receivable Specialist.

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