Hospital Accounts Receivable Associate

Richardson, TX 75082

Posted: 05/08/2019 Industry: A/R Specialist Job Number: 64778

Hospital A/R Associate
Join a growing Central Billing Office team in the North Texas Area!


This position is responsible for the resolution of outstanding and/or denied claims.

Key Responsibilities:

·          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;
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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