Accounts Receivable Analyst II

2 weeks ago


Houston Texas, United States Retina Consultants of Texas Full time

Position Summary:


Retina Consultants of Texas (RCTX) is on the lookout for an Accounts Receivable Analyst II who will engage regularly with NextGen RCM, operational leaders, and patients concerning various accounts receivable matters, including invoicing, overdue accounts, collections, and more.

This position necessitates the effective application of interpersonal styles and communication techniques to cultivate strong partnerships aimed at achieving shared goals and objectives. The ideal candidate will demonstrate a robust capability to analyze data, assess situations, and pinpoint problems or opportunities, including potential causes.

RCTX provides a competitive benefits package for full-time eligible employees following the introductory period:

• Medical Insurance Plans

• Vision Insurance Plan

• Dental Insurance Plan

• 401K Contribution

• Life Insurance

• Paid Time Off and Vacation Pay

• Employee Assistance Program

• Rewards and Recognition Program

• Certification Opportunities


RCTX stands as one of the largest and most esteemed retina-exclusive ophthalmology practices in the nation, dedicated to preserving vision for patients across the state.

RCTX operates three certified research centers and is recognized as a leading site for retinal research in the country.

All physicians at Retina Consultants of Texas are board-certified by the American Board of Ophthalmology and specialize solely in the diseases and surgical procedures of the retina, vitreous, and macula.

Additionally, RCTX has specialized divisions in uveitis and ocular oncology, focusing on inflammation and cancer treatments of the eye.

Our surgeons have trained at some of the most prestigious institutions in the country and have consistently graduated at the top of their classes.


RCTX adheres to all CDC and local authority guidelines to ensure the safety and well-being of patients, providers, employees, and communities.

RCTX is proud to be an Equal Employment Opportunity and Affirmative Action Employer, committed to fostering an inclusive work environment that celebrates diversity.


Key Responsibilities:

Duties include:

Key Responsibilities:


  • Conduct thorough and consistent investigations of accounts with outstanding claims utilizing Worklog Task Manager.
  • Investigate and resolve disputes related to insurance claims.
  • Provide corrected billing statements to patients.
  • Assist in preparing appeals according to carrier guidelines for claims requiring reconsideration for appropriate or additional payment.
  • Ensure timely submission of Third-Party Payor claim filing deadline appeals and exhaust efforts to resolve claim denials before considering write-offs or patient responsibility.
  • Review, monitor, and identify trends within assigned accounts receivable.
  • Contact patients and/or NextGen Revenue Cycle Manager to collect on outstanding receivables as necessary.
  • Address patient inquiries regarding their financial responsibilities, copays, deductibles, and write-offs.
  • Resolve patient questions or clarify why certain services are not covered.
  • Identify and reassign financial responsibilities as appropriate, evaluating patients' financial situations and establishing budget payment plans as needed.
  • Prepare and approve statements for services that become the patient's responsibility.
  • Execute various collection/payment actions as required.
  • Accept, review coding, scrub, and bill all out/in patient facility claims via NextGen.
  • Assist in resolving all non-payment correspondence, underpayments, or overpayments.
  • Document all activities performed on each patient's account using NextGen PM.
  • Maintain knowledge and utilize multiple third-party systems that Advocate to manage the revenue cycle process for its providers.
  • Accept and complete other assigned duties.

Skills and Competencies:

  • Uphold strict confidentiality and comply with all regulations.
  • Exceptional attention to detail is essential.
  • Highly organized, attentive, with a sense of urgency, adaptable, and capable of managing frequent interruptions and shifting priorities.
  • Respond to patient calls professionally and promptly, demonstrating proper telephone etiquette while adhering to HIPAA guidelines.
  • Excellent written and verbal communication skills, with the ability to engage effectively with individuals at all levels.
  • Exhibit professionalism in the workplace while maintaining a positive team attitude.

Qualifications:

Education Requirements:

  • High School diploma, GED, or equivalent.

Experience Requirements:

  • Minimum of two years of experience in accounts receivable, billing, and/or revenue cycle management within a medical environment.
  • Bilingual Spanish speaker preferred.

Physical Abilities:

Sedentary work:
Ability to lift up to 10 lbs at a time and occasionally carry files/small tools.

  • Prolonged periods of sitting.
  • Repetitive motion involving substantial movements of the wrists, hands, and/or fingers.
  • Close visual acuity required for work involving viewing a computer screen.

Note:


This description is intended to outline the essential job functions, general supplemental functions, and essential requirements for performing this job. It is not an exhaustive list of all duties, responsibilities, and requirements for the position. Other functions may be assigned, and management retains the right to modify duties at any time.



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