99 Healthcare Management
Medical Billing Senior Account Representative (Dallas, TX)
99 Healthcare Management, Dallas, Texas, United States, 75215
Medical Billing Senior Account Representative (Dallas, TX)
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We are seeking a detail-oriented and results-driven
Medical Billing Senior Account Representative
to join our corporate office in Dallas, TX. This is an excellent opportunity to play a key role in supporting our healthcare partners by managing accounts receivable follow-up, ensuring accurate and timely claim resolution, and contributing to a smooth revenue cycle process in a professional office environment.
This position handles a variety of accounts receivable (AR) follow-up including, but not limited to, coding, demonstrating, and executing in-depth knowledge of all standard medical billing operating procedures, communicating issues, trends, concerns, and suggestions to leadership.
About Us 99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients – by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, OBGYN, and more.
Learn more about our office and culture by visiting www.99mgmt.com or our Facebook page.
Essential Functions
Reviewing outstanding insurance balances
Thorough working knowledge of outpatient/hospital coding in multiple medical specialties; identifying and resolving issues preventing finalization of claim payments which may include coordinating with payers, patients, and clients when appropriate
Excellent ability to conduct coding audits to evaluate quality performance measures and using the findings to create written reports with recommendations; and then present education and feedback to facilitate improvement of documentation and coding
Exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation
Analyzing data and recording any noticed trends
Recommending solutions to improve first-pass denial rates and reduce the age of overall AR
Processing 40-60 claims daily
Answering inbound customer/patient calls and questions
Collecting balances on accounts
Reviewing credit balances and validating reimbursement requests
Initiating reallocation of refunds when appropriate
Maintaining an in-depth working knowledge of the various applications associated with the workflows
Ensuring all workflow items are completed within the set turn-around-time within quality expectations
Skills and Qualifications
High school diploma (other equivalents accepted) or equivalent combination of education and experience in healthcare required (Associate’s degree preferred)
Proficiency in MS Office Suite
EMR experience required; E-Clinical Works and/or Athena preferred
At least one year of experience handling physician office claims across various specialties
Experience with internal medicine, family medicine, cardiology, pain management, or OBGYN preferred
Coding and billing certification preferred
Coding experience preferred
Excellent command of the ICD-9-CM, ICD-10-CM, and CPT-4 classification systems
Proficient and in-depth knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS and Evaluation and Management coding guidelines
Ability to handle stressful situations in a professional manner
Ability to set priorities and work independently while maintaining a high degree of accuracy
Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction
Experience with provider enrollment preferred but not required
Schedule
Monday-Friday, 8 AM - 5 PM. No weekends, holidays, or after hours.
Benefits
401(k) with matching*
Medical, Dental, Vision Insurance
Flexible Spending Account
Disability and Life Insurance
Paid Time Off
Employee Assistance Program
401(k) Retirement Plan – Our company offers a 401(k) plan with immediate vesting on employer contributions. Employees can start contributing after 6 months of employment with both pre-tax and Roth 401(k) options available. The company provides a 100% match on the first 3% of contributions and 50% match on the next 2%, fully vested from day one. Additional investment options, loan features, and rollover support are available. Annual contribution limits apply.
Seniority level Mid-Senior level
Employment type Full-time
Job function Health Care Provider
Industries Business Consulting and Services
Referrals increase your chances of interviewing at 99 Healthcare Management by 2x
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Get AI-powered advice on this job and more exclusive features.
We are seeking a detail-oriented and results-driven
Medical Billing Senior Account Representative
to join our corporate office in Dallas, TX. This is an excellent opportunity to play a key role in supporting our healthcare partners by managing accounts receivable follow-up, ensuring accurate and timely claim resolution, and contributing to a smooth revenue cycle process in a professional office environment.
This position handles a variety of accounts receivable (AR) follow-up including, but not limited to, coding, demonstrating, and executing in-depth knowledge of all standard medical billing operating procedures, communicating issues, trends, concerns, and suggestions to leadership.
About Us 99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients – by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, OBGYN, and more.
Learn more about our office and culture by visiting www.99mgmt.com or our Facebook page.
Essential Functions
Reviewing outstanding insurance balances
Thorough working knowledge of outpatient/hospital coding in multiple medical specialties; identifying and resolving issues preventing finalization of claim payments which may include coordinating with payers, patients, and clients when appropriate
Excellent ability to conduct coding audits to evaluate quality performance measures and using the findings to create written reports with recommendations; and then present education and feedback to facilitate improvement of documentation and coding
Exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation
Analyzing data and recording any noticed trends
Recommending solutions to improve first-pass denial rates and reduce the age of overall AR
Processing 40-60 claims daily
Answering inbound customer/patient calls and questions
Collecting balances on accounts
Reviewing credit balances and validating reimbursement requests
Initiating reallocation of refunds when appropriate
Maintaining an in-depth working knowledge of the various applications associated with the workflows
Ensuring all workflow items are completed within the set turn-around-time within quality expectations
Skills and Qualifications
High school diploma (other equivalents accepted) or equivalent combination of education and experience in healthcare required (Associate’s degree preferred)
Proficiency in MS Office Suite
EMR experience required; E-Clinical Works and/or Athena preferred
At least one year of experience handling physician office claims across various specialties
Experience with internal medicine, family medicine, cardiology, pain management, or OBGYN preferred
Coding and billing certification preferred
Coding experience preferred
Excellent command of the ICD-9-CM, ICD-10-CM, and CPT-4 classification systems
Proficient and in-depth knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS and Evaluation and Management coding guidelines
Ability to handle stressful situations in a professional manner
Ability to set priorities and work independently while maintaining a high degree of accuracy
Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction
Experience with provider enrollment preferred but not required
Schedule
Monday-Friday, 8 AM - 5 PM. No weekends, holidays, or after hours.
Benefits
401(k) with matching*
Medical, Dental, Vision Insurance
Flexible Spending Account
Disability and Life Insurance
Paid Time Off
Employee Assistance Program
401(k) Retirement Plan – Our company offers a 401(k) plan with immediate vesting on employer contributions. Employees can start contributing after 6 months of employment with both pre-tax and Roth 401(k) options available. The company provides a 100% match on the first 3% of contributions and 50% match on the next 2%, fully vested from day one. Additional investment options, loan features, and rollover support are available. Annual contribution limits apply.
Seniority level Mid-Senior level
Employment type Full-time
Job function Health Care Provider
Industries Business Consulting and Services
Referrals increase your chances of interviewing at 99 Healthcare Management by 2x
#J-18808-Ljbffr