CHW Revenue Cycle Management Billing Specialist

4 days ago


Houston, Texas, United States Galveston County Health District Full time
Job Summary

The CHW Revenue Cycle Management Billing Specialist is a critical role within the Galveston County Health District, responsible for ensuring the accurate and timely submission of medical, dental, and behavioral health claims to various payors, including Medicare, Medicaid, and Commercial insurance companies.

Key Responsibilities
  • Charge and payment entry within the NextGen Electronic Practice Management (EPM) system
  • Coordinate with providers to resolve missing or incomplete documentation
  • Submit and follow-up on unpaid claims with all payors
  • Analyze and interpret claim reimbursement and patient account transactions
  • Process appeals and reconcile bank deposits, ERAs, and patient collections
  • Post payments and contractual adjustments accurately based on explanation of benefits (EOBs) from payors
  • Communicate with cross-functional teams to identify and resolve billing and payment issues
  • Provide excellent customer service to patients and internal stakeholders
Requirements
  • Graduation from an accredited high school or equivalent
  • 2+ years of experience in a medical, dental, and/or behavioral health care practice performing task-based billing functions in an EPM system
  • Strong team player with excellent written and interpersonal skills
  • Understanding of medical terminology and coding and billing compliance laws, regulations, policies, and guidelines
  • Advanced skills in Microsoft Office, including Excel, Word, and Outlook
What We Offer
  • Excellent benefits package, including retirement plan, paid time off, and medical insurance
  • A team-oriented environment with opportunities for professional growth and development
  • A competitive hourly rate of $22.00


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