Medical Billing Senior Account Representative (Dallas, TX)

Job Description

Job Description

We are seeking a detail-oriented and results-driven Medical Billing Senior Account Representative to join our corporate office in Dallas, TX. This is an excellent opportunity to play a key role in supporting our healthcare partners by managing accounts receivable follow-up, ensuring accurate and timely claim resolution, and contributing to a smooth revenue cycle process in a professional office environment.

This position handles a variety of accounts receivable (AR) follow-up including, but not limited to, coding, demonstrating, and executing in-depth knowledge of all standard medical billing operating procedures, communicating issues, trends, concerns, and suggestions to leadership.

About Us :

99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients – by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, OBGYN, and more.

Learn more about our office and culture by visiting www.99mgmt.com or our Facebook page.

Essential Functions :

• Reviewing outstanding insurance balances
• Thorough working knowledge of outpatient / hospital coding in multiple medical specialties. Identifying and resolving issues preventing finalization of claim payments which may include coordinating with payers, patients, and clients when appropriate
• Excellent ability to conduct coding audits to evaluate quality performance measures and using the findings to create written reports with recommendations; and then present education and feedback to facilitate improvement of documentation and coding.
• Exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation.
• Analyzing data and recording any noticed trends
• Recommending solutions to improve first-pass denial rates and reduce the age of overall AR
• Processing 40-60 claims daily
• Answering inbound customer / patient calls and questions
• Collecting balances on accounts
• Reviewing credit balances and validating reimbursement requests
• Initiating reallocation of refunds when appropriate
• Maintaining an in-depth working knowledge of the various applications associated with the workflows
• Ensuring all workflow items are completed within the set turn-around-time within quality expectations

Skills and Qualifications :

Schedule :

Benefits :

99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients - by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, OBGYN, and more.