ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER

Responsibilities About Texoma Care Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region's leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years. Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Research claim denials by assigned payer/s to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows up on appeals, recognizing the payer-defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims, and maximize opportunities to enhance front-end claim edits to facilitate first pass resolution. Identifies noncollectable accounts and performs accurate and timely write-offs (e.g. no authorization), adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team. Independence Physician Management (IPM) a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. Benefits Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision, and Prescription Drug Plans 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ Subsidiaries! About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune, listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities, and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. States, Washington, D.C., Puerto Rico, and the United Kingdom. Qualifications Education High School Graduate/GED required. Technical School/2 Years College/Associate's Degree preferred. Work experience Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Knowledge Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care, and commercial insurance, claim submission requirements, reimbursement guidelines, and denial reason codes. An understanding of the revenue cycle and how the various components work together is preferred. Skills and Abilities Excellent organization skills, attention to detail, research, and problem-solving ability. Results-oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills, including proficiency in Microsoft Office. Equipment Operated Mainframe billing software (e.g., Cerner, Epic, IDX) experience is highly desirable. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr Universal Health Services