PBO Revenue Cycle AR Specialist II

PBO Revenue Cycle AR Specialist II

Bring your passion to Texas Health so we are Better + Together Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours: Full time (40hours) Monday Friday, 8:00AM 5:00PM PB AR Department highlights:

• Team based environment
• Special project opportunities for career growth
• Ongoing training and development
• Fortune 100 Best Companies to Work For

Qualifications

What You Will Do:

• Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner.
• Document clear, concise, and complete follow up notes in system for each account worked.
• Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output.
• Identify, analyze, and escalate trends impacting AR collections.
• Exceeds established productivity goals.
• Complete special projects to improve team performance, as assigned.
• Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable departments revenue cycle operations.
• Ensure protection of private health and personal information. Adheres to all HIPAA compliance requirements.
• Participate in educational activities and attends team meetings.
• Remain current on collection and follow up procedures of various payors and specialty departments.
• Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership team.
• Demonstrate strong technical skills and account resolution abilities.

What You Need:

Education:

• High School Diploma or Equivalent required
• Associate's Degree Business or healthcare related field preferred

Experience:

• 2 Years PB AR management, denial management experience in a healthcare revenue cycle environment. Strong working knowledge of insurance plans, billing guidelines, denial resolution processes, reconsiderations, appeals, recoupments, and reimbursement practices is required. Experience with specialty billing and payer-specific requirements is highly preferred.
• Revenue Cycle Government Payors (Medicare and Medicaid) life cycle of a claim knowledge. Knowledgeable on Appeals, Reconsideration, and Recoupments. Productivity 45 Accounts Daily. 2 or more years of experience in Denial Follow -Up and AR Work.

Why Texas Health? At Texas Health Resources, our mission is "to improve the health of the people in the communities we serve". As part of the Texas Health family and its 28,000+ employees, we're one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.