- Must have five years of Patient Financial Services or Coding experience, to include three to five years of experience in analysis and resolution of hospital denials and two years of experience in a lead role.
- Must have experience with interpreting Medical Documentation and constructing effective appeal letters to overturn denials.
- Must have strong working knowledge of medical terminology and strong knowledge of HCPCS Codes and ICD-10 Codes
- May have an equivalent combination of education and experience to substitute for both the education and the experience requirements.
- Must possess an expert level knowledge of PFS operations, including operations in a hospital healthcare environment.
- Must be able to prioritize efforts to achieve strategic goals.
- Must have excellent verbal and written communication skills.
- Must be customer service oriented.
- Must be able to think creatively and strategically in developing and implementing management procedures, goals and objectives.
-
Mgr., PFS Denials/Collections
5 hours ago
Parkland Health and Hospital System Dallas, United StatesInterested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and ...
-
Medical Billing Specialist
1 week ago
Phytech Dallas, United StatesPosition Title: Accounts Receivable Collector · **Responsibilities** · - Follow up on all assigned insurance claims 21 days after claim submission and last touch, to ensure appropriate reimbursement. · - Process assigned AR work lists or special projects as needed. · - Performing ...
-
UT Southwestern Dallas, United States Full timeSUMMARY · : This Revenue Cycle Department has a new opportunity available for a talented Clinical Denial Management Specialist III. The ideal applicant will have 3+ years of follow-up experience of complex minor and/or major surgical procedures. Preferably someone who has been a ...
-
Medical Collector
2 weeks ago
Addison Group Dallas, United States Contract To HireRole: Reimbursement Specialist · Pay: $ 20 - $ 23 / hour · Hours: Monday - Friday 8AM - 5PM · Location: Dallas, TX 75235 · Responsibilities: · Denials and EOB experience · Ability to verify Insurance · Medicare, Medicaid and Managed Care · DME experience is a plus · Brightree sof ...
-
Hospital Refund Specialist
2 weeks ago
USPI Dallas, United StatesRole and Responsibilities: · The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer service, ...
-
Experienced Medical Infusion Collector- remote
3 weeks ago
AIS HealthCare Dallas, United StatesAIS Healthcare is the leading provider of Targeted Drug Delivery (TDD), and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patien ...
-
Medical Reimbursement Specialist
11 hours ago
The LaSalle Group Dallas, United StatesAs a national revenue cycle solutions firm, our client partners with healthcare organizations to increase cash collections, decrease unpaid claims and reduce denials and write offs.This well-trained customized business is looking for strong Medical Reimbursement Specialist who ca ...
-
Parkland Health & Hospital System Dallas, TX , USA, United StatesInterested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and ...
-
Parkland Health and Hospital System Dallas, United StatesInterested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and ...
-
Accounts Receivable/ Medical Billing
3 weeks ago
Texas Sports Medicine & Orthopaedic Dallas, United StatesJob Description · Job DescriptionResponsibilities and Duties include but are not limited to: · Post payments and charges · Contact payers for claims status, follow-up denials, or partial payments · Obtain payer requirements for timely adjudication of claims · File claims with app ...
-
Patient Advocate
3 weeks ago
OneDigital | Resourcing Edge Dallas, United StatesPatient Account Representative- Healthcare Claims · Qualifications: · High School Diploma minimum · 1+ year's medical provider experience working with UB04, appeals & denials. · PC skills in a Windows environment are required. · Knowledge and utilization of desktop applications ...
-
Patient Account Representative
3 weeks ago
Exceptional Health Care Dallas, United StatesAs a Patient Account Representative, you'll be a guiding force behind efficient patient billing and account management. Your responsibilities will span the entire account lifecycle - from processing claims and collecting payments to resolving issues and addressing patient inquiri ...
-
Medical Collector
1 day ago
Physical Rehabilitation Network (PRN) Dallas, United StatesJob Description · Job DescriptionJob description · Title: Medical Collector - REMOTE · About the Role: If you LOVE working Medical Collections in a fast-paced environment, but from the comfort of your own home, then this might be an exciting opportunity for you. We are rapidly gr ...
-
Billing Accounts Auditor
3 weeks ago
Taylor Counseling Group Dallas, United StatesOfficial Job Title: Billing Accounts Auditor · Duties: · Coordinate with Customer Support Staff with billing related items, payment management, and conflict resolution of all insurance claims through the Monday platform. · Run insurance reports, organize claims data, and produ ...
-
Revenue Cycle Lead
1 week ago
VitalCare Dallas, United StatesPerform functions to plan for and train the Reimbursement Specialist position, involving initial intake, billing, and collections requirements. Will cultivate an environment of outstanding customer service as the voice of the company in all interactions with franchise partners, p ...
-
Medical Assistant
2 weeks ago
99 Healthcare Management Dallas, United StatesJob Description · Job DescriptionAre you looking for a Medical Assistant role that gives you work-life balance? Do you value being part of a team and providing quality patient care? Then join us 99 Healthcare Management is seeking a Medical Assistant for Connected Cardiovascular ...
-
Enrollment Leader
1 week ago
Aveda Arts & Sciences Institute Dallas, United StatesJob Overview · If you are a dynamic Admissions, Sales, and / or Recruiting professional seeking to work in a creative, high energy, fun environment, then we want to hear from you · The most satisfying part is that you will be helping to change lives and help start students on n ...
-
Patient Accounts Receivable Specialist 1
2 days ago
RPC Company Dallas, United StatesJob Description · Job DescriptionTitle: Patient Accounts Receivable Rep I - ONSITE · Type: Contract, could extend, we anticipate a minimum of 90 days · Pay: $21- $23 DOE · Start: June - July · Schedule: Monday – Friday, 8 hour in-office · Responsibilities: · Identify problem acc ...
-
Medical Billing Account Representative
1 week ago
99 Healthcare Management Dallas, United StatesWe are seeking a full-time on-site Medical Billing Account Representative for our corporate office located in Dallas, Texas off 635 and Abrams. · This position handles a variety of accounts receivable (AR) follow-up including, but not limited to, demonstrating, and executing in- ...
-
Profee SME Clinical Quality Analyst
3 weeks ago
Optum Dallas, United StatesYou'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · Optum · is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will direct ...
Mgr., PFS Denials/Collections - Dallas, United States - Parkland Health & Hospital System
Description
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care.
By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years.
Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job.
It's our passion.
Manages and controls all processes related to Denials Management in the Inpatient, Outpatient (COPC and Specialty Clinics) and Emergency areas.
Denials/Collections Manager is responsible for providing oversight, management, reporting, prevention, and resolution of the denial inventory for Government, Managed Care, Non- Government, and Commercial plan payors.
This candidate will trend denials for root cause analysis reporting, follow and create value added processes related to denials management, account reviews, and appeals management, and insurance follow up to maximize revenue recovery and denial prevention.
Additional, Denials/Collections Manager is responsible for communication and collaboration with Clinical Department Leaders to mitigate denials wherever possible.MINIMUM SPECIFICATIONS
Education:
BA/BS Degree or higher in education, business administration, health administration or finance preferred or related work experience.
Experience:
Skills or Special Abilities:
Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
Nearest Major Market:
Dallas
Nearest Secondary Market:
Fort Worth
Job Segment:
Healthcare Administration, Patient Care, Manager, Healthcare, Management
