We are seeking a skilled Medical Biller/Collections Specialist to join our team in Dallas, Texas. In this Contract to permanent position, you will play a critical role in managing accounts receivable, ensuring accurate insurance filings, and maintaining compliance with healthcare regulations. This opportunity is ideal for professionals who excel in a fast-paced healthcare environment and possess strong organizational and communication skills.<br><br>Responsibilities:<br>• Analyze and manage daily work queues for accounts that are overdue by more than 31 days.<br>• Audit account details to confirm proper insurance filings and verify patient balances before initiating collection efforts.<br>• Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date of service.<br>• Submit appeals using approved templates and forward medical or coding denials to the QA Department for review.<br>• Facilitate secondary insurance filings and ensure explanations of benefits are properly documented.<br>• Establish payment arrangements with patients, adhering to timelines and policies.<br>• Conduct skip tracing for accounts requiring additional investigation.<br>• Send collection letters or statements to patients in accordance with office policies.<br>• Maintain a secure and organized workspace in compliance with privacy laws, including HIPAA regulations.<br>• Collaborate with the Manager and Compliance Committee to uphold the organization’s Compliance Program.
Medical Payment Poster needed for North Dallas company. Duties and responsibilities include:<br><br>• Posts payments received to corresponding charges on patient accounts.<br>• Downloads remittance reports and posts payments to corresponding charges on patient accounts.<br>• Imports daily files and extracts remittances from Easy Print and other websites.<br>• Posts all zero pay remittance with corresponding denial/reason code.<br>• Ensures payments received are paid in accordance to contract reimbursement terms.<br>• Applies appropriate contractual transaction relative to the contract and/or penalty application.<br>• Responsible for contacting system vendor and opening a case when a system issue occurs.<br>• Responsible for extracting the daily deposits from bank on a daily basis to ensure the funds are there.<br>• Responsible for updating the Director of Business Services and the Billing Manager on a daily basis of our daily cash to be posted.<br>• Ensures that the daily deposit worksheet is accurate and matches what was posted daily.<br>• Ensures that the daily downloads are in balance before going on to the next download.<br>• Scans all EOBs and denials into VSDM daily.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.
We are looking for an experienced Billing Specialist to join our team in Grand Prairie, Texas. This role is ideal for someone with strong attention to detail and over five years of experience in high-volume billing within the service industry, such as plumbing or electrical services. The successful candidate will excel at managing invoicing processes, resolving billing issues, and delivering exceptional customer service to both internal and external stakeholders.<br><br>Responsibilities:<br>• Handle high-volume billing operations, ensuring all invoices are processed accurately and on time.<br>• Review service contracts and documentation to verify billing details and prevent errors.<br>• Collaborate with clients and internal teams to address and resolve billing discrepancies.<br>• Provide support for B2B collections as necessary, maintaining a detail-oriented approach.<br>• Maintain detailed and organized billing records to support compliance and audit requirements.<br>• Respond promptly and courteously to customer inquiries, ensuring high levels of satisfaction.<br>• Generate and present billing reports to track account statuses and identify potential issues.
