|Employer:||Hospital Internists of Texas
|Skills:||AR follow up,PM system knowledge,payment posting,Federal and Commercial Ins Knowledge
|Required Experience:||1 to 2 years
|Preferred Experience:||3 to 4 years
|Location:||7000 n mo pac expy Austin 78731, TX, US
Full Job Description – AR Specialist
Hospital Internists of Texas is a privately held
hospitalist group in Austin, serving many St. David’s and Seton hospitals in
the Central Texas. Our mission is patient focused. We streamline care as the
cohesive link between all specialties a patient may encounter when receiving
care in a hospital or acute care setting. Our practice is designed to help
patients navigate the increasingly complex dynamic of modern medicine, and to
enable physicians and physician partners to have career ownership so they can focus
on what they do best—care for patients.
In choosing a career with HIT, you
are choosing to improve the lives of patients and their families through a
collaborative team-driven approach in an innovative, quality-driven,
community-based setting. Better Medicine. Better Care.
The purpose of this position is to work directly with patients and
their families, ensuring proper exchange of financial information with our
practice. This position is responsible for assuring the patients and their
families understand their financial responsibilities. This position will also
set up patient budgets and post patient payments to patient accounts in
accordance with company policy. This position will also assist in submitting
and scrubbing all medical claims to proper insurance party correctly and will
completed follow-up in a timely manner to ensure timely collections of all
monies due to the practice.
Responsibilities and Duties:
- Reviews and
analyzes insurance claims being sent electronically daily.
- Ensures claims
are sent electronically and via paper every day.
rejections from clearinghouse and insurance company are resolved daily,
within 24 hours of submission.
- Generate CMS
1500 forms, when necessary.
- Ensure timely
processing of all secondary claims, within 48 hours of primary insurance
- Acts as a
liaison between HIT and third-party biller to facilitate the gathering of
information that will ensure proper response to claim denials.
rejections from clearinghouse and insurance companies are resolved daily
when received from third-party biller.
- Follow-up on all
unpaid claims in a timely manner.
- Generate and
work aging reports weekly.
computer office notes for clear audit trail on every account worked.
- Work delinquent
reports after all correspondence is updated.
- Update patient
insurance information to guarantee correct insurance billing.
- Provide customer
service to patients inquiring about their patient account statements.
communicate with patients and insurance companies regarding sensitive
- Send via mail or
fax: invoices, medical reports and patient notes to insurance companies to
aging/delinquent reports; review work accounts.
- Assist with
answering phones with collecting payments.
- Assist with
other duties assigned.
- File appeals
with supporting documentation as appropriate
Qualifications and Skills:
- Minimum three
(3) years of billing/collections experience within a clinic or physician practice.
- High school
diploma required; formal billing education preferred.
- Strong working
knowledge of insurance plans, including Medicare and Medicaid.
- Strong working
knowledge of ICD-10 and CPT coding.
completion of AHIMA or AAPC-Approved Certified Billing Program a plus.
- Proficiency in
computer software use, including Microsoft Office, EMR and Practice
- Effective time
management and the ability to prioritize work.
communication skills and the ability to interact with all levels of
management, staff and physicians.
- Ability to read
and interpret medical charts.