Medical Billing Office - Revenue Cycle Management AR Department

Must have experience with how to read EOB's, follow up on claims, file appeals, be familiar with insurance portals and provide excellent customer service. Preferably someone who has done commercial insurance collections as full-time or was over half of their daily work tasks.

This is not a remote position. You must be willing to work onsite at our Sugar Land location.

Job Summary: Ensures highest level of customer service is provided to providers, payers, fellow employees, and patients in efforts to resolve all outstanding claims.

Essential Functions:

• Investigate and follow up on open account balances overdue for 60 days or more and determine reason for non-payment.
• Contact responsible parties to establish reasons for delinquency, document all verbal and written communications relative to overdue accounts, and institute timely follow-up.
• Reprint claims on outstanding dates of service and re-file when necessary.
• Work a specified minimum number of accounts per day as established by the Patient Financial Services Supervisor and report daily productivity.
• Request account adjustments and report bad debt and disallowance corrections.
• Notify Patient Financial Services Supervisor of any database operation changes or additions.
• Assist with filing insurance claims including printing claims and sending/receiving EDI transmissions as needed.
• Audit accounts and request refunds as needed.
• Set up and process payment plans with patients on overdue accounts.
• Perform other duties or special projects as assigned.

Required Skills & Abilities:

• Problem-solving skills.
• Strong interpersonal, oral, and written communication skills.
• Ability to organize, prioritize and manage multiple projects.
• Ability to work independently with minimal supervision.
• Knowledge of indemnity insurance practices, contracts, and managed care.
• Proficient with Windows-based office technologies (Word, Excel, PowerPoint).

Preferred and Required Credentials:

• High School diploma or GED required.
• Minimum one or more years of medical billing experience; preferably in collections/accounts receivable.

Pay: $15.00 - $17.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person at Sugar Land, TX.