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Account Resolution Specialist - Revenue Cycle Management in Plano, TX at Prime Healthcare Services Inc

Date Posted: 5/7/2019

Job Snapshot

Job Description

Responsibilities

This position is responsible for Healthcare Revenue Cycle Management Accounts Receivable (AR) Resolution for Prime Healthcare facilities. In this role the ideal candidate will ensure receipt of appropriate cash and other financial adjudications to settle account balances. This role involves performing billing activities related to account resolution including but not limited to, plan updates, insurance verification, payor edit rejections, coding updates, rebills, denials, technical and clinical appeals, contractual review, cash posting, adjustments and credits. This role will require communication to payors, departmental leadership, and other departments throughout the Revenue Cycle. Responsibilities will require the candidate to leverage systems, processes, resources and other methods to minimize revenue loss, increase cash flow, and maximize efficiency within the Revenue Cycle without compromising customer service.
Qualifications

High school diploma or GED required.
Bachelor's degree preferred.
3-5 years of experience in Revenue Cycle Management.
Minimum of 2 year of insurance hospital billing, collections required.
Proficient in Microsoft Office, especially MS Excel (Pivot tables, VLOOKUP's)
Previous experience with EPIC and Meditech
Excellent multitasking and problem-solving abilities
Ability to use independent judgement and decision-making

 

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