Revenue Cycle Specialist II - AR & Denials Follow-Up

Posted 4 Days Ago
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Hiring Remotely in 75038, Irving, TX, USA
In-Office or Remote
Senior level
Professional Services • Consulting
The Role
Handles medical billing, accounts receivable follow-up, denials, reconsiderations, appeals, collections, claim status monitoring, payment posting, and insurance correspondence. Provides patient reimbursement assistance, maintains HIPAA compliance, submits medical records, coordinates claim corrections with providers, and performs accurate data entry and transaction processing in EHR and billing systems. Requires strong knowledge of medical coding, insurance reimbursement, claims, EOBs, and physician-office billing procedures.
Summary Generated by Built In

*THIS IS A REMOTE POSITION*

RESPONSIBILITY:

Primarily responsible for effective billing and collections for all ENT Specialty Partners offices. Is able to resolve claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.

POSITION RESPONSIBILITIES:

  • This position is responsible for all AR follow up including denials, reconsiderations, and appeals 
  • Accurate data entry of information into the computer system
  • Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
  • Follow appropriate HIPAA guidelines provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
  • Work well individually and in a team-environment accomplishing set goals
  • Timely and accurate filing and billing of all patient transactions (billing, invoices, and insurance claims, etc.)
  • Monitor claim status, contact and follow up with insurance carriers on denials
  • Answer/respond to correspondence related to patient accounts
  • Posting of charges, payments, adjustments and related activities in EHR. Coordinates with providers, when necessary, on incomplete information to assure proper account and claim adjudication
  • Answer phones, take messages and return calls
  • Work well individually or in a team environment accomplishing set goals
  • Ability to maintain confidentiality
  • Performs other related duties as assigned
Qualifications

MINIMAL REQUIREMENTS:

  • High School Diploma or equivalent
  • Minimum 5 years recent experience in medical billing and collections
  • Experience using eClinicalWorks (eCW) billing system preferred
  • Understanding of medical claims and coding
  • Medical billing and collections in a physician office setting preferred
  • Basic math skills and accurately process money transactions (must be able to read & understand an EOB)
  • Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on
  • Must be proficient using the computer, data entry, and have above average typing skills
  • Experience with MS Office, EMR/EPM systems, eClinicalworks is a plus
  • Prior experience with ENT specialty a plus

Skills Required

  • High school diploma or equivalent
  • Minimum 5 years of recent experience in medical billing and collections
  • Understanding of medical claims and coding
  • Basic math skills and ability to accurately process money transactions and understand EOBs
  • Proficiency with computers, data entry, and above-average typing skills
  • Ability to maintain confidentiality and follow HIPAA guidelines
  • Experience with office equipment, including multifunction printers, fax machines, multiline phone systems, calculators, and postage machines
  • Experience using eClinicalWorks billing system
  • Medical billing and collections experience in a physician office setting
  • Experience with Microsoft Office, EMR/EPM systems, and eClinicalWorks
  • Prior ENT specialty experience
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The Company
Year Founded: 2021

What We Do

ENT Specialty Partners (ESP) is a collaborative, physician-led national network of otolaryngologists, allergists, facial plastic surgeons, audiologists, and support specialists dedicated to delivering exceptional patient care. Driven by physicians, ESP combines clinical expertise with collaborative expert support to empower practices to provide the highest quality patient outcomes while advancing the future of ear, nose, and throat care across the United States.

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