ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER

United Health Services - Denison, TX

Full-time - Entry Level

Denison, TX

10,001+ employees

Insurance Carriers and Related Activities

About the position

The Accounts Receivable Specialist at TexomaCare is a pivotal role responsible for managing the follow-up of unpaid claims to ensure timely payments and minimize write-offs. This position requires a thorough understanding of healthcare billing processes, including the ability to research claim denials and correct them for reprocessing. The specialist will work closely with assigned payers, adhering to defined aging criteria to meet or exceed collection targets. The role demands a proactive approach in initiating and following up on appeals, while also recognizing trends in denials to mitigate future issues. The specialist will be expected to uphold best practices in daily processes and contribute to workflow standardization to enhance team efficiency. TexomaCare, affiliated with Texoma Medical Center, is dedicated to providing compassionate care across various specialties. The organization prides itself on its experienced team of healthcare professionals who work collaboratively to deliver quality patient care. As part of Independence Physician Management (IPM), the specialist will be involved in a growing network that operates across multiple states, focusing on improving health and wellness in the communities served. The position offers a challenging and rewarding work environment, with opportunities for career development within a respected healthcare organization. In addition to the core responsibilities, the Accounts Receivable Specialist will be expected to demonstrate excellent organizational skills, attention to detail, and a results-oriented mindset. The role requires strong computer literacy, particularly in mainframe billing software, and the ability to work effectively within a high-performing team environment. The specialist will play a crucial role in ensuring the financial health of the organization by managing accounts receivable processes efficiently and effectively.

Responsibilities

• Accurate and timely follow-up of unpaid claims by assigned payer/s.
• Research claim denials to determine reasons for denials and correct claims for reprocessing.
• Meet or exceed established performance targets for productivity and quality.
• Initiate and follow-up on appeals based on payer defined aging criteria.
• Escalate identified denial trends or root causes to mitigate future denials.
• Identify noncollectable accounts and perform accurate write-offs adhering to IPM policy guidelines.
• Demonstrate effective teamwork and uphold best practices in daily processes.

Requirements

• High School Graduate/GED required; Technical School/2 Years College/Associates Degree preferred.
• 3-5 years of experience in healthcare billing, health insurance, or equivalent operations work environment.
• Knowledge of healthcare billing, CPT/ICD-10 coding, and claim submission requirements.
• Understanding of the revenue cycle and its components is preferred.
• Excellent organization skills and attention to detail.
• Strong research and problem-solving abilities.
• Results-oriented with a proven track record in a high-performing team environment.
• Service-oriented with strong customer-centric skills.
• Proficiency in Microsoft Office and strong computer literacy.

Nice-to-haves

• Experience with mainframe billing software such as Cerner, Epic, or IDX.

Benefits

• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!