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Job Posting Title:

Account Resolution Specialist

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday

8:00 am - 4:30 pm

Job Description:

Duties/Responsibilities

• Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payer guidelines

• Review and resolve credit balances in a timely manner

• Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts

• Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payers

• Review payer denial reasons and appeal with supporting documentation for complete reimbursement

• Follow-up with payers and families routinely to provide assistance to expedite payments

• Assist with training and development of account follow-up methods and procedures

Required Skills/Abilities

• High school diploma or equivalent required

• Minimum of 1 year of patient account follow-up experience in the healthcare field with a clear understanding of contractual reimbursement and adjustments