Accounts Receivable Specialist 244417

6 days ago

Irving, Texas, United States Medix™ Full time

Job Title:
Accounts Receivable Associate

Location:
Irving, Texas (Onsite)

Schedule:
Monday – Friday, 8:00 AM – 4:30 PM

Job Type:
Full-Time

Job Overview:

We are seeking a detail-oriented
Accounts Receivable Associate
to join our team. The ideal candidate will be responsible for reviewing outstanding denied claims from Medicare, Medicaid, and Commercial insurance companies. This role involves regular communication with payors to determine claim status, submission of required documentation (including medical records), and resolution of denials to support an optimized revenue cycle.

Key Responsibilities:

  • Review insurance denials and take appropriate corrective actions.
  • Check claims status via phone or insurance portals.
  • Submit medical records upon request and follow up to ensure receipt.
  • Submit HCFA claims to payors that do not accept electronic submissions.
  • Submit retro authorizations when applicable.
  • Communicate and coordinate with insurance companies to resolve claims disputes.
  • Identify and correct billing errors and recommend process improvements.
  • Monitor and report process issues that impact reimbursement.
  • Utilize payor portals for claim status updates.
  • Respond professionally and promptly to inquiries from insurance companies, patients, and client representatives.
  • Ensure compliance with HIPAA, CMS guidelines, and payer-specific policies.
  • Meet or exceed productivity and quality standards.

Must-Have Qualifications:

  • High school diploma or equivalent required.
  • 1–2 years of Accounts Receivable or medical billing experience.
  • Proficient understanding of Explanation of Benefits (EOBs) to analyze denials.
  • Basic proficiency in medical billing software.
  • Proficient in Microsoft Word, Excel, Outlook, and general internet navigation.
  • Working knowledge of CPT and ICD-10 codes.

Nice-to-Have Qualifications:

  • Associate's degree in Accounting, Finance, Healthcare Administration, or related field OR equivalent combination of education and experience.
  • Experience with XiFin software.

Key Soft Skills:

  • Excellent written and verbal communication skills.
  • Strong attention to detail and organizational abilities.
  • Ability to work independently and collaboratively.
  • Effective problem-solving skills.
  • Adaptable to frequent changes and able to manage multiple tasks efficiently.

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