Legent Health is dedicated to providing first-class healthcare with a patient-centered approach. They seek an experienced Billing and Payment Resolution Specialist to join their revenue cycle team, supporting surgical hospital and ambulatory surgery center operations.
The role involves reviewing and validating billing charges for accuracy and compliance, ensuring timely charge capture, monitoring charge lag reports, and submitting claims electronically. The specialist will manage claim edits, rejections, and error resolution to maintain high clean claim rates and payment posting accuracy. Other responsibilities include tracking claim status, reconciling cash receipts, processing adjustments and refunds, researching payment discrepancies, and collaborating with accounts receivable teams for advanced resolution.
Candidates should possess strong analytical skills, attention to detail, excellent communication, and the ability to manage multiple priorities independently. A customer service orientation towards patients and payers is essential, along with knowledge of healthcare reimbursement methodologies and billing regulations.
Education and experience requirements include a high school diploma or GED (associate degree preferred), current CPB or CRCR certification (CPC preferred), and 3-5 years of healthcare billing experience in surgical hospital or ASC environments. Proficiency with Waystar revenue cycle management, CPSI/TruBridge, and HST Pathways ASC software is preferred. Candidates should demonstrate expertise in denial management, multiple payer types, and medical coding (CPT, ICD-10, HCPCS).
Legent Health offers competitive salary and incentives, comprehensive benefits, paid time off, wellness programs, and career development opportunities in a supportive, diversity-embracing environment.
Applicants must verify employment eligibility through E-Verify and provide required US documentation.
- Strong analytical and problem-solving abilities
- Excellent attention to detail and accuracy
- Effective written and verbal communication skills
- Ability to work independently and manage multiple priorities
- Customer service orientation for patient and payer interactions
- Understanding of healthcare reimbursement methodologies
- Knowledge of regulatory requirements affecting billing operations
- High school diploma or GED required; Associate's degree preferred
- Current CPB (Certified Professional Biller) or CRCR (Certified Revenue Cycle Representative) certification required
- CPC (Certified Professional Coder) certification preferred
- Minimum 3-5 years of healthcare billing experience in surgical hospital and/or ASC environments
- Professional-level experience with Waystar revenue cycle management platform
- Knowledge of CPSI/TruBridge and HST Pathways ASC software preferred
- Proven experience in denial management and payment resolution
- Experience with commercial, Medicare, and Medicaid payers
- Advanced proficiency in healthcare revenue cycle management systems
- Strong knowledge of medical coding (CPT, ICD-10, HCPCS)
- Competitive salary and performance incentives
- Comprehensive benefits package
- Paid time off and wellness programs
- Career development and training opportunities
- Inclusive and supportive workplace culture
Location
Plano, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago