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

Dallas, TX 75201

Posted: 09/20/2018 Industry: General Job Number: 36397

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
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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