Accounts Receivable Specialist

Company: Universal Health Services
Location: Amarillo
Posted on: January 12, 2020

Job Description:

The Accounts Receivable (A/R) Specialist is responsible for the accurate and timely follow-up of unpaid claims by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows up on appeals recognizing the payer-defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expediting the reprocessing of claims and maximizing opportunities to enhance front-end claim edits to facilitate first-pass resolution. Identifies uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day to day processes and work flow standardization to drive maximum efficiencies across the team.

Northwest Texas Physician Group employment opportunities are available in primary care and various specialties. When you are part of Northwest Texas Physician Group, you can expect a diverse, energetic work environment in which you can learn, grow and reach your full potential. Work with a team that values your expertise and strengths and expects you to contribute. Your compassionate colleagues are driven to impact every patient experience and improve processes. You will be working in an organization with a daily commitment to patients and their families to raise national standards of excellence.

Northwest Texas Physician Group formed in 2013 with a focus towards population health management. The group has grown to a network of over 40 providers serving patients at numerous primary, specialty and urgent care locations in Amarillo, Texas. Northwest Texas Physician Group is affiliated with Northwest Texas Healthcare System, a 495 bed system acute care hospital, that serves approximately 650,000 residents of the Texas Panhandle and surrounding region. The system provides acute care services including: cardiac, pediatric, women's, emergency, surgical and behavioral healthcare.

Amarillo has a population of nearly 200,000 people. The public schools are outstanding and there are college preparatory and parochial private schools available. The city boasts many cultural activities, including the Amarillo Symphony and Opera, the Lone Star Ballet and a variety of theater groups. Recreational activities are plentiful. Amarillo offers a spectacular botanical garden, numerous art galleries and museums, and outdoor activities, including golf, hiking and biking. The city is located minutes from Palo Duro Canyon State Park, the second largest canyon in the country, and is on Historic Route 66.

Northwest Texas Physician Group is recruiting one Accounts Receivable Specialist for the Wyatt Clinic.

Northwest Texas Physician Network is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

DISCLAIMER
Northwest Texas Physician Network, a subsidiary of UHS, is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

Job Requirements

EDUCATION, TRAINING, EXPERIENCE AND LICENSES/REGISTRATIONS REQUIRED

Education: High School Diploma/GED Required. Technical school/2 years of college/Associates degree preferred

Work Experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.

Knowledge: Healthcare (professional) billing; knowledge of CPT/ICD-10 coding; government, managed care and commercial insurances; claim submission requirement guideliness and other denial reason codes. Understanding of the revenue cycle and how the various components work together preferred.

Skills: Mainframe billing software(e.g., Cerner, Epic, IDX) experience highly desirable. Excellent organization skills, attention to detail, research and problem solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Proficient in Microsoft Office with strong computer literacy skills.

Equipment Operated: Telephone, computer, fax/copier, scanner.

PHYSICAL AND SENSORY REQUIREMENTS

• Ability to read and write in English
  
• Ability to communicate with patients, families, staff, physicians, support agencies, vendors and others
  
• Ability to remain calm and composed under stress
  
• Ability to evaluate and interpret information and make independent decisions
  
• Ability to tolerate low noise levels for prolonged periods
  
• Ability to determine colors
  
• Ability to respond to pages, telephones and other auditory stimulation
  
• Quantitative/mathematical ability (addition, subtraction, multiplication, division)
  
• Ability to function when exposed to infectious organisms, agent and toxic chemicals
  
• Bending and lifting (minimum of 30 lbs), grasping, fine hand/eye coordination, pushing and pulling repeatedly, twisting, squatting and stopping

Keywords: Universal Health Services, Amarillo , Accounts Receivable Specialist, Other , Amarillo, Texas