Revenue Cycle Account Receivables Specialist

Job Description

Job Description

Child and Family Guidance Center is seeking a client centered  Revenue Cycle and Account Receivables Specialist  at our Harry Hines location in Dallas, Texas. The  Revenue Cycle and Account Receivables Specialist provides timely billing, accounts receivable follow-up, and final resolution of assigned accounts; ensures appropriate contractual adjustments are taken on accounts, research remittance advice to verify accurate payer reimbursement, and proactively works aging accounts to maximize reimbursement and reduce outstanding receivables and responsible for claim submission, payment posting, denial management, appeals, and collection activities in accordance with payer guidelines and organizational policies.

Duties/Responsibilities:

• Maintain a professional, patient-focused approach in all verbal and written communications.
• Answer client phone calls and voicemails daily, assisting with account balance inquiries, billing questions, payment status, and other account-related concerns.
• Review and correct claims for coding and billing accuracy to ensure clean claim submission and maximize reimbursement.
• Submit and manage primary, secondary, and tertiary insurance claims.
• Analyze EOBs, ERAs, payer correspondence, and remittance advice to ensure accurate reimbursement and identify recovery opportunities.
• Post payments, adjustments, refunds, and contractual write-offs accurately.
• Research, resolve, and follow up on denied, rejected, underpaid, and unpaid claims within filing deadlines.
• Manage accounts receivable by analyzing aging reports, prioritizing follow-up, and reducing outstanding balances.
• Initiate and track appeals, reconsiderations, and corrected claims as needed.
• Communicate with insurance carriers to resolve claim, authorization, reimbursement, and payment issues.
• Identify billing trends, denial patterns, and payer issues, escalating concerns to management.
• Maintain thorough account documentation and monitor work queues to ensure timely resolution and productivity goals are met.
• Collaborate with the Billing Manager on reimbursement, AR, and operational issues.
• Support special projects and additional departmental responsibilities as assigned.
• Ensure compliance with HIPAA, payer requirements, and organizational policies while maintaining confidentiality.

Minimum Skill Requirements: 

• Knowledge of managed Care, Medicaid, Medicare, and commercial insurance reimbursement processes.
• Understanding of behavioral health billing, CPT, HCPCS, and ICD-10 coding standards.
• Experience with accounts receivable management, denial resolution and revenue cycle operations.
• Proficiency in medical terminology and healthcare billing practices.
• Strong knowledge of payer reimbursement practices and revenue cycle operations.
• Excellent analytical, problem-solving, and claim resolution skills.
• Strong organizational skills, attention to detail, and ability to meet performance goals.
• Ability to work independently and collaboratively in a team environment.
  

Minimum Knowledge & Educational Requirements:

• 3+ years of healthcare billing and accounts receivable experience, including insurance billing, follow-up, denial management, collections, appeals, and reimbursement resolution.
• High School Diploma/GED required
• Experience with Medicaid, Medicare, and commercial payers.
• Behavioral health and/or outpatient billing experience preferred.
• Credentialing knowledge and Netsmart experience preferred.
  

Skills:

• Ability to learn and appropriately apply basic medical terminologies and techniques taught and used on the job.

• Strong written and verbal communication skills.
• Keyboard proficiency (approximately 50 words/minute).
• Ability to operate a personal computer and related software applications.
• Strong attention to detail.
• Ability to multitask and accept Billing Manager or Director of Revenue Cycle Management prioritization of job duties.
• Ability to problem solve under pressure.
• Ability to communicate and interact professionally with others.
• Understanding of and commitment to appropriate protection of confidential patient information.

• Must be able to have a HIPAA secure environment when telecommuting.

Physical Demands:

• Ability to view computer monitors with close vision, color vision, depth perception, and ability to adjust your focus with good hand-eye coordination.
• Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods.
• Employee must be able to sit up to 90% of the time.
• Employee must be able to stand, walk, and climb stairs (up to 10% of the time)(if an elevator is unavailable).
• Must be able to frequently (up to 20% of the time) listen and speak clearly in person, and via telephone.

Benefits:

Comprehensive benefits offered: Medical, Dental, Vision, Basic Life, Short term disability, Long term disability, Voluntary life, Accidental death & dismemberment, Voluntary Accident, Critical Illness, Legal & 401K 

Paid time off (vacation and sick time)

About Us:

A community leader since 1896, Child & Family Guidance Center takes a comprehensive approach to treating individuals with complex mental and behavioral health challenges throughout seven North Texas counties - Dallas, Collin, Ellis, Hunt, Kaufman, Navarro, and Rockwall. Since our establishment, we have been committed to providing quality, compassionate care to those in need. Today, we take immense pride in providing a wide range of comprehensive mental health services tailored to meet the unique needs of every North Texan.

At Child & Family Guidance Center, we believe everyone deserves access to quality care, so no one is ever turned away-regardless of their ability to pay. From initial assessment to ongoing care, our doctors and counselors are committed to helping tens of thousands of North Texans each year recover from trauma caused by abuse, severe neglect, and poverty-empowering them to thrive in their communities.