Job description

This is located in Duncanville, Texas (must be able to work 15-20 minutes of Duncanville, TX)

Our practice is seeking an experienced, detail-oriented LEAD REVENUE CYCLE / ACCOUNTS RECEIVABLE.

REQUIREMENTS:

• Minimum of 5 years A/R and revenue cycle manager experience

• Must have Intergy experience

• Must have extensive experience working with government payers (Medicaid, Medicare)

• Spanish is preferred but not required

• Ready to start ASAP

• Experience in fast paced/ high volume setting

Anticipated responsibilities (some training available but preference to individuals with strong background and experience in the listed areas):

COLLECTIONS:

• Knowledge of insurance guidelines for contracted insurance carriers.

• Manage Accounts Receivable Accounts

• Review/audit patient accounts and generates manual statements when needed

• Process monthly credit card payments on accounts with payment plans/provide receipts and updated statements reflecting new balances.

• Contact patients to collect on outstanding balances/establish payment plans. Report delinquent unpaid patient accounts to credit bureau following final notices.

• Manage TRW accounts. Respond to disputed reports. Assure files are updated when paid in full.

• Collect co-pays, deductible and coinsurance amounts owed. Review and discuss insurance benefits with patients, Physician and front office staff.

• Research and contact insurance carriers on rejected, denied, pended or underpaid claims within standard billing cycle timeframe.

• Provide insurance carriers with missing or corrected information.

• Submit and follow-up on written appeals/medical records forwarded to insurance carriers.

• Identify and bill outstanding balances to secondary plans that are not crossovers.

• Verify insurance benefits via telephone and online/update accounts accordingly. Submit re-bills when applicable.

• Review and update weekly Insurance Referral report. Audit # of referrals utilized

• Contact PCP offices and obtain new and or request extended referral authorizations.

• Assure New Patient accounts are captured and added to the referral report.

• Prepare and submit prior authorization requests for allergenic extract on Medicaid patients when applicable.

• Post charges and makes corrections/adjustments to the A/R.

• Post insurance and patient payments to accounts.

• Identify and report problematic carrier issues/coding and system denials/suggest resolutions.

• Must be willing and able to learn other front-end operations.

Management and Front Office Support

• Provide backup coverage support to the Office Manager, Receptionist, New Patient Intake desk and check out desk.

• Answer incoming telephone calls and direct them appropriately.

• Review daily serum charts for accurate insurance information and assure guidelines on limits are being followed.

• Schedule appointments according to office guidelines.

• Obtain accurate patient/insurance information and prepare charts for appointment by verifying/updating patient account prior to the appointment/includes daily work-ins.

• Perform duties associated with checking patients in at front desk/print encounter forms/scan ID cards/update demographic and consent to treat forms/room the patient’s.

• Perform duties associated with checking in new patients at the intake desk/review benefits/financial responsibility/document required medical info/room new patient’s.

• Perform duties associated with checking out patients/scheduling return appointments

• Prepare end of day reports and assure accurate balancing. Prepare and make bank deposits.

• Prepare end of month and end of year financial reports

• Update fee schedule report with new contract reimbursement amounts when identified.

• Assist Manager with credentialing and other requests as needed

• Filing and all other duties as assigned

BENEFITS:

• Excellent full-time opportunity to work in well - respected, established, thriving practice-family friendly schedule (no evenings, weekends), 2 1/2 day clinics

• Competitive Compensation (based on credentials/experience) with potential for growth

• Productive Incentive Program

• Located in Dallas County (30 minutes from downtown)

• No need to travel to multiple clinic sites-Single modern and spacious office

• Join thriving allergy practice and work alongside experienced front end staff

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Benefits:

• Employee discount
• Paid time off

Schedule:

• Monday to Friday

Experience:

• accounts receivable and revenue cycle manager: 5 years (Preferred)
• Intergy: 1 year (Preferred)
• with government payers (Medicaid, Medicare): 1 year (Preferred)

Work Location: One location

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