Financial Operations Specialist

3 days ago


Fort Worth, Texas, United States Texas Health Care PLLC Full time
Job Overview
Texas Health Care PLLC is seeking a highly skilled Accounts/Receivable Specialist RCM to join our Revenue Cycle Management team. As an Accounts/Receivable Specialist RCM, you will play a crucial role in supporting vendors and care centers with billing and accounts receivable obstacles.

About the Role
This position involves working collaboratively with peers, offshore vendors, and senior management to ensure business needs are met. You will provide RCM support to physicians and care center staff, conduct account research and analysis, perform complex appeals, identify and execute necessary process adjustments, prepare and maintain various reports, interact with internal and external customers to resolve outstanding issues, and maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.

Key Responsibilities
  • Work collaboratively with peers, offshore vendors, and senior management to ensure business needs are met.
  • Provide RCM support to physicians and care center staff.
  • Conduct account research and analysis.
  • Perform complex appeals.
  • Identify and execute necessary process adjustments.
  • Prepare and maintain various reports.
  • Interact with internal and external customers to resolve outstanding issues.
  • Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.

Requirements
To be successful in this role, you should have a minimum of two years experience with NextGen Practice Management software, a minimum of two years of progressive professional experience in healthcare revenue cycle management, proficiency in government and commercial insurance billing, and proficient use of Excel, Word, and PowerPoint or equivalent Google software. Additionally, you should have knowledge and understanding of ICD-10, CPT, and HCPCS codes, medical terminology and procedures, coding, medical records, remittance codes, and reimbursement policies. Experience working complex and high-dollar appeals is also required. A High School diploma or general equivalency is necessary, along with good verbal and written communication skills, and the ability and willingness to work flexible hours to meet staffing needs. Certified Professional Coder certification is preferred.

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