US Heart and Vascular is in need of an Accounts Receivable Specialist to join our team.

Responsibilities:

• Responsible for billing all patient claims in a timely manner
• Perform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.
• Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.
• Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.
• Establish and maintain effective working relationships with carrier representatives and internal and external clients. Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes
• Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.
• Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.

Requirements:

• High School Diploma or equivalent required
• Knowledge of the accounts receivables (A/R) process
• Bachelor's Degree in a related field preferred
• One year healthcare or insurance billing processing experience required
• Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
• eClinicalWorks experience a plus
• Proficient in medical terminology, anatomy, and physiology
• Strong knowledge of ICD-1O coding
• Familiarity with medical office procedures and billing practices
• Flexible, Detail Oriented, Customer focus, Team working, Initiative, Problem solving, Organized, Self-motivated Ability to pay close attention to detail and produce extremely accurate work

About the Area:

Dallas offers a strong job market, vibrant culture, and a lower cost of living than other major cities. It’s home to top restaurants, shopping, sports, and entertainment. With no state income tax and great schools, it’s ideal for families and professionals. The city balances modern urban life with historic charm.