• AR Specialist

    Urology Clinics of North Texas (Mesquite, TX)


    AR SPECIALIST

    Job Details

    Job Location

     

    1650 Republic Pkwy Ste 150, Mesquite, TX 75150 - Mesquite, TX

    Position Type

    Full Time

    Education Level

    High School

     

    Travel Percentage

     

    None

     

    Job Shift

     

    Day

     

    Job Category

     

    Customer Service

    Description

    A busy urology practice with eighteen locations spread throughout the Dallas metroplex is looking for a customer-focused office professional to perform collections, filing claims, handle appeals, and correspondence with payers. This position will focus on claims for our Oncology business.

    ESSENTIAL DUTIES OF THIS POSITION INCLUDE:

    As a Collections Specialist, candidate will be responsible for the following summary of duties:

    + Prioritize tasking and utilize tasking for daily work

    + Follow up on all oncology claims from billing through final resolution

    + Correct and identify billing errors and resubmit claims to insurance carriers

    + Review insurance EOB and initiate appeals and as necessary

    + Respond to Payer’s request for additional information/documentation

    + Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments)

    + Answer incoming calls and assist insurance carriers with their requests

    + Communicate patient responsibility with patient

    + Collect on patient balances and/or establish payment plan

    + Review weekly schedules for patients with upcoming appointments, contact patient and communicate to front desk arrangements made to collect balances

    + Return mail (patient statements), contact patient to obtain correct billing address and/or payment

    + Answer incoming calls and assist patients with their billing inquiries

    Qualifications

    Job Requirements:

    + High School Diploma

    + Knowledge of CPT Coding, ICD10 and use of appropriate modifiers

    + Experience working appeals and composing appeal letters for oncology cases

    + Knowledge of bundling and global periods

    + Experience working in Microsoft Word & Excel, & NextGen is a PLUS!

    + Experience working medical oncology collections, both insurance and patient contact

    + Urology/Oncology and medical terminology

    + Knowledge of insurance plans, claims, and billing processes

     

    Job Type: Full-time