AR II Specialist - Hybrid Position

Hours of Work :

40

Days Of Week :

Monday through Friday

Work Shift :

Job Description :

Your Job:

We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in a Central Business Office (CBO) setting. The ideal candidate will possess a strong background in healthcare revenue cycle management, specifically in addressing and resolving no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement.

Your Job Requirements:

• Associate degree or High School Diploma with (4) four years of experience in healthcare revenue cycle management, specifically in a professional billing for family practice.

• Proficiency in medical billing software EPIC and electronic health record (EHR) systems.

• Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations.

• Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims and financial data.

• Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders.

• Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting.

• Ability to prioritize tasks, meet deadlines, and work efficiently in a fast-paced environment.

• Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.

• Position requires 5 months of in office training before transitioning to working remotely. One day in office a week is required, 4 days from home.

Join our dynamic team and contribute to the financial health of our organization while supporting quality patient care in our family practice setting.

Your Job Responsibilities:

• Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately.

• Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement.

• Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments.

• Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment.

• Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement.

• Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable.

• Be accountable for your performance.

• Always look for ways to improve the patient experience

• Take initiative for your professional growth

• Be engaged and eager to build a winning team

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

• 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Equal Opportunity Employer

It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee's compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee's exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.