What are the responsibilities and job description for the Billing Specialist position at Texas Health Care PLCC?
Essential Duties and Responsibilities:
- Work collaboratively with peers, offshore vendors, and senior management to ensure business needs are met.
- Provide support to physicians and care center staff with RCM questions or escalations.
- Conduct account research and analysis.
- Understand Payer nuances and will be able to help in creating payer-specific billing rules.
- Identify and execute necessary process initiatives related to Billing, adjustments, etc.
- Prepare and maintain various reports.
- Interact with internal and external customers to resolve outstanding issues.
- Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
- Additional duties to be assigned from time to time.
Required Experience and Skills:
- Minimum 3 years of experience with Athena software - Preferred
- Minimum 3 years of progressive professional experience in healthcare revenue cycle management.
- Proficient in government and commercial insurance billing and experience with working on various Clearing houses (Waystar, Trizetto, etc)
- Proficient in the use of Excel, Word, and PowerPoint or equivalent Google software
- Knowledge and understanding of ICD-10, CPT, and HCPCS codes and payer-specific coding guidelines.
- Knowledge and understanding of medical terminology and procedures.
- Knowledge of coding, medical records, remittance codes, and reimbursement policies
- High School diploma or general equivalency.
- Good verbal and written communication skills.
- Ability and willingness to work flexible hours to meet staffing needs.
Pay: From $23.00 per hour depending on experience and job history of the applicant
Location:
Fort Worth, TX 76107: Reliably commute or planning to relocate before starting work
(Required)
Experience:
- Athena: 3 years (Required)
- Revenue Cycle Management: 3 years (Required)
Work Location: In person
Duties:
Management of the accounts receivable (AR), including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring. Denial management - investigating denial sources, resolving and appealing denials, which may include contacting payer representatives. Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality. Laser-focused
drive toward achievement of the departments daily and monthly KPIs, requiring a team-focused approach to attainment of these goals.
Job Requirements:
Education: High School Graduate, Medical Office training certificate or relevant experience. 3 years experience in a medical billing office. Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims. Strong preference for experience working with Athena Healths suite of tools. Must comply with HIPAA rules and regulations.