Job Description
Job Title: Accounts Receivable Specialist – Revenue Cycle
Location: Irving, Texas
Employment Type: Full-Time
MUST HAVE ORTHOPEDIC EXPERIENCE
Overview:
A leading and well-established orthopedic and sports medicine practice is seeking an experienced Accounts Receivable (AR) Specialist to join their growing Revenue Cycle team. This organization offers a positive culture, opportunities for career growth, and has proudly served the DFW metroplex for over 30 years.
Key Responsibilities:
- Ensure accurate submission of claims, including proper coding (CPT, modifiers) for ancillary services (physical therapy, DME, home health), clinical visits, and surgical procedures.
- Adhere strictly to billing compliance regulations, including the correct use of modifiers and avoidance of unbundling.
- Compile and submit supporting medical documentation (chart notes, imaging reports, operative notes) for appeals and claims.
- Review and document patient and insurance correspondence in a timely and organized manner.
- Update patient insurance and demographic information in the system as notified.
- Research and verify accuracy of insurance payments, adjustments, and address billing inquiries from patients or insurers.
- Support the verification team with procedure authorizations and patient balance questions.
- Manage clearinghouse messages and assist the Revenue Cycle Manager in administrative tasks.
- Design and facilitate relevant training programs for billing team members to enhance technical skills.
- Maintain payment plans and follow up on delinquent patient and insurance accounts.
- Review and post necessary adjustments to reduce AR balances.
- Conduct audits of clinic batches related to posting and collections.
- Process and review refund requests according to internal policies.
- Assist with patient and insurance AR recovery and collections.
Qualifications:
- Minimum of 2 years of AR experience including appeals, reconsiderations, and CPT coding.
- At least 2 years working in an orthopedic practice
- Knowledge and experience working with various insurance types including Commercial, Medicaid, and Workers’ Compensation.
- Strong understanding of medical billing compliance and revenue cycle operations.
Job Tags
Full time,