Revenue Cycle Management Specialists (Billing & Payment Posting)
Urgent Care for Kids
- Fort Worth, TX
- $18.00-24.00 per hour
- Permanent
- Full-time
- High school diploma or equivalent
- Competency in Microsoft Office 365 (especially Excel) and electronic medical record (EMR) software
- Ability to read, understand, and interpret explanation of benefits (EOB) documents
- Ability to define challenges, analyze problems, and suggest solutions in a proactive and positive manner
- Ability to effectively communicate with patients, insurance companies, and team members within organization using excellent both verbal and written communication skills
- Ability to manage and prioritize multiple tasks through excellent time management and organizational skills
- High attention to detail in fast paced and dynamic environment
- Ability to adapt to change quickly and rebound well
- Ability to handle repetitive tasks
- Regular and reliable attendance is a core requirement of this position as it affects quality and organizational cash flow
- Create accurate billing by reviewing CPT, ICD-10 and Modifier guidelines by insurance
- Audit patient demographics and insurance information prior to billing
- Generate and send electronic claims
- Manage and correct rejected claims
- Review prior months to be sure all billing has been sent out
- Proficient in HMO, PPO, and governmental insurances
- Understanding of CMS-1500 forms, Clearinghouse claim submission, CPT, ICD-10, and HCPCS
- Proficiency in healthcare terminology and medical procedure coding
- 1 - 2 years' experience in medical insurance billing and/or collections.
- Reviewing Electronic Remittance Advice for proper payment
- Daily cash reporting and posting using Excel and company software programs
- Reconcile bank deposits to ERA & Credit card deposits received
- Scanning EOB's into system
- Applying patient credits/insurance denials/zero payers to patient accounts
- Preparing Refund Requests
- Posting Account adjustments
- Daily Balancing
- Month End reporting
- Other duties as required
- Ability to search within insurance websites such as Availity, TMHP, Optum
- 1-2 years insurance payment posting with multiple payers.
- Must have experience in posting from Bank Lockbox
- Experience in Microsoft Excel with sorting/filtering with large sets of data to optimize and streamline workflow
- Experience working with eMDs/Epic/Centricity is a plus
- Competitive compensation & incomparable company culture
- Certain revenue-generating positions may be eligible for incentive compensation
- Medical, Dental, Vision
- Basic Life, Voluntary Life, Short-Term and Long-Term Disability
- Accident, Hospital Indemnity, Critical Illness, Legal and ID Theft Insurance
- Pet Insurance
- Employee Assistance Program
- Corporate Discount Program
- Team Member Recognition Program
- Swag Store
- 401k Retirement Savings Plan
- Paid Time Off (PTO) & Holidays
- Free In-Clinic & Telemedicine Visits for Team Members & Dependents