Hospital Accounts Receivable Associate

Richardson, Texas 75080

Posted: 12/06/2018 Industry: General Job Number: 37080

Revenue Cycle Associate (Hospital A/R Follow-Up)

This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines.  The Revenue Cycle Associate reports to the central business office supervisor or manager.




Key Responsibilities:

 
  • Meets goals and objectives in assigned area;
  • Complies daily with departmental policies and procedures;
  • Performs collection activity to ensure proper resolution and reimbursement on claims;
  • Provides thorough, courteous, and professional assistance to coworkers and patients;
  • Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance;
  • Collaborates with hospital departments in the resolution of accounts;
  • Resolves claims processing issues with third party payers and provide all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies;
  • Resubmits clean and accurate claims to insurance companies in a timely and compliant manner;
  • Researches, prepares, and submits appeals to insurance companies;
  • Details all actions taken on account with clear and concise notes;
  • Monitors and recognizes denials and/or issues that may be trends and escalate to supervisor as needed; and Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations.

 




 

Required Knowledge and Skills:

 
  • Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus;
  • Understands payer guidelines related to effective claim resolution;
  • Knowledgeable and proficient with payer websites and other useful resources;
  • Knowledge of revenue cycle and/or business office procedures;
  • Highly detail oriented and organized;
  • Ability to read, understand, and follow oral and written instructions; and
  • Ability to  establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of the Clients Network

 




EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

 
  • Education: High School Diploma or GED.
  • Experience(Type & Length): 2-3 years’ experience with medical billing/collection and follow up. Experience within a healthcare consulting firm or large company preferred. Five plus years of relevant work experience.
  • Software/Hardware: Microsoft Office suite; Experience with patient accounting systems and billing/claim submission software; Cerner experience a plus.

 

Donovan & Watkins, a Brand of BG Staffing, Inc. (NYSE American: BGSF), delivers the just-in-time talent that organizations need to effectively compete in the modern business landscape. Donovan & Watkins matches critical talent in the Finance & Accounting, Engineering, Legal, Administrative & Clerical and Human Resources fields to a diverse range of clients and client needs. To learn more about our services, visit www.donwat.com.

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