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FEED

This position serves as a key link between the front office and business office, ensuring an excellent patient experience at check-in while supporting accurate billing, timely collections, and efficient revenue cycle performance. The Billing & Patient Services Specialist is a dual-function role responsible for both patient registration and billing/collections operations in a high-volume endoscopy center.

JOB DESCRIPTION The Billing & Patient Services Specialist is a dual-function role responsible for both patient registration and billing/collections operations in a high-volume endoscopy center. This position serves as a key link between the front office and business office, ensuring an excellent patient experience at check-in while supporting accurate billing, timely collections, and efficient revenue cycle performance. The role requires strong customer service skills, attention to detail, and a solid understanding of endoscopy billing workflows.

United Regional Health Care

SPEC- BILLING/COLLECTION

Billing

Credit and Collections

Customer Support/Service

Detail Oriented

Endoscopy

Medical Billing

Patient Assessment

Patient Care

Patient Registration

Time Management

Broadbean

Prepares monthly denial reports to present and report to denial management meetings as well as looks for ways to reduce denials. Ensures claims are filed, appropriate follow-up is taken, and payments received through reporting & claim aging reports.

JOB DESCRIPTION Below are the general tasks, functions, and responsibilities associated with this position. The duties of this position are not limited to this job description and may be changed when necessary. United Regional Health Care System Job Family: Professional Job Title: ARCOOR Summary of Essential Functions<ul><li>Oversite and management of all A/R staff team members. </li><li>Coordinate A/R Department tasks under Direction of Business Office Manager & Director to ensure daily work processes are completed. </li><li>Keep current with all non-government Billing and Reimbursement regulations as well as claim filing rules on all other payers. </li><li>Ensures contracted payers abide by reimbursement agreement by keeping abreast of payer guidelines and changes. </li><li>With help of A/R Specialist investigates unidentifiable payments and ensures proper application and or refund. </li><li>Performs overview of monthly reports for all non-governmental and facility aging and identifies problem areas. Notifies Business Office Manager of issues </li><li>Capable of working multiple job positions and assists for PTO and vacant positions as needed within the Business Office. </li><li>Prepares monthly denial reports to present and report to denial management meetings as well as looks for ways to reduce denials. </li><li>Oversees the management of employee payroll deduction and refunds. </li><li>Follows legal guidelines and hospital policy on cashier functions, bad debts, bankruptcies, crime victims, facilities, liens and insurance payments. </li><li>Negotiates discounts with non-contracted payors and or attorneys following Business Office policies. </li><li>Required to complete monthly rounding's and yearly employee evaluations. </li><li>The duties of this position are not limited to the job description and can be changed by management when deemed necessary </li></ul> Educational Requirements High school diploma or GED is required Must be able to communicate effectively in English both verbally and in writing Certifications and Licenses Qualifications, Knowledge, Skills, and Abilities<ul><li>Minimum of 2 years related experience required. </li><li>Must have knowledge in all areas of insurance claims with emphasis on understanding of revenue code, CPT codes, and surgical procedure codes. </li><li>Knowledge in non-governmental claim filing requirements and reimbursement rules. </li><li>Basic mathematical knowledge including understanding of debits and credits. </li><li>Contributes to a team concept for maximum effectiveness and productivity </li><li>Must be able to prioritize tasks according to oral and written instructions. </li><li>Tact, diplomacy, and perception required in daily contact with co-workers, patients and third-party payers. </li><li>Demonstrates professional aggression, patience, tact, persistence and the ability to convey job functions to new hires. </li><li>Must be able to prioritize work according to oral and written instructions using organizational skills and sound judgement. </li><li>Must be able to tolerate ambiguity, flexibility, and adaptability to progressive change </li><li>Required to work a 40-hour week schedule, Monday through Friday, 8:00 a.m. to 5:00 p.m., however, may be required to work additional hours </li><li>Requires good time management skills and attention to detail </li><li>Requires the use of office equipment such as computer terminals, telephones, 10-key adding machine, and credit reporting machine, fax machine. </li><li>Above average knowledge in Excel and Word. </li></ul> Physical Requirements Ability to work under pressure and stress Must distinguish between numbers and symbols Requires eye-hand coordination and manual dexterity, corrected vision and hearing to normal range Work Environment Category III Employee has no occupational risk of exposure to blood or Other Potentially Infectious Materials (OPIM). Essential Duties<ul><li>Identifies and alerts Business Office Manager and Director of Billing issues. </li><li>Reviews and reports on Monthly Aging for all non-governmental and facility payors to Manager. </li><li>Assigns and ensures Daily work processes are completed by A/R staff. </li><li>Ensures claims are filed, appropriate follow-up is taken, and payments received through reporting & claim aging reports. </li><li>Works closely with HB and PB Billing coordinators on payer audits to ensure accuracy and provides reporting for YTD results. </li><li>Ongoing and as needed research and repo</li></ul>

COORD- ACCOUNTS RECEIVABLES

10-key (Tenkey) Numeric Keypad

Accounts Receivable

Accounts Receivable Management

Bankruptcy

Communication Skills

Computer Terminals

Current Procedural Terminology (CPT)

English Language

Establish Priorities

Facilities Management

Fax Machines

Government Billing

Government Requirements

Healthcare

Hearing Impairment

Hospital

Identify Issues

Insurance

Insurance Claims

Legal

Liens

Manual Dexterity

Mathematics

Microsoft Excel

Microsoft Word

Negotiation Skills

Office Equipment

Office Management

Organizational Skills

Past Due Accounts

Payroll Management

Payroll Tax

People Management

Performance Reviews

Regulations

Reimbursement

Reporting Skills

Third-Party Payer

Assesses and evaluates patient's physical, functional, and psychosocial status to assist patients in the design of an exercise, education, and lifestyle modification program to meet activities of daily living (ADL), recreational, and vocational needs. Evaluates patients progress and creates or modifies goals and objectives, discharges with appropriate program to maintain and continue optimal lifestyle function and follows up with patient to determine adherence and success.

JOB DESCRIPTION Summary of Essential Functions <ul><li>The CPR position plans, coordinates, and implements and evaluates all exercise and educational components of cardiac rehabilitation for outpatients.</li><li>To provide general nursing care and/or supervision of personnel delivering general nursing care to patients.</li></ul>Educational Requirements <ul><li>High School diploma or equivalent required.</li><li>Graduate of one of the following:</li></ul>o An accredited University with a Master's degree in Exercise Physiology or related field. o An accredited School of Nursing. o An accredited Respiratory Care Therapist program. Licenses and Certification <ul><li>Level I:</li></ul>o BCLS within the first 2 months of being hired o ACLS within the first 6 months of being hired <ul><li>Level II:</li></ul>o BCLS o ACLS within first 6 months of being hired <ul><li>Level III:</li></ul>o BCLS o ACLS within first 6 months of being hired o If an Exercise Physiologist, CCRP (Certified Cardiac Rehabilitation Professional) is required <ul><li>One of the following:</li></ul>o ACSM-EP (American College of Sports Medicine) preferred o Registered with Board of Nursing for the State of Texas o Registered Respiratory Therapist for the State of Texas Qualifications/Knowledge/Skills/Abilities <ul><li>Demonstrates competency in the care of patients. </li><li>Must be able to communicate effectively in English, both verbally and in writing.</li><li>Uses common sense and special nursing skills to care for the sick or handicapped. </li><li>Understands information from supervisors, charts, reference books, manuals, and labels. </li><li>Must have good computer skills.</li><li>Communicates with people when they are sick, handicapped or nervous and works quickly and efficiently in an emergency. </li><li>Changes from one duty to another frequently, follows reasonable instructions, and records information accurately. </li><li>Remains current in continuing education both in one's profession and in the field of specialty.</li><li>Competent in the use of obtaining accurate HR, BP, and cardiac rhythm.</li><li>General understanding of Cardiac and Pulmonary medications.</li><li>General understanding of Cardiac and Pulmonary anatomy & physiology.</li></ul>Physical Requirements <ul><li>Full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination.</li><li>Standing and walking for extensive periods of time.</li><li>Lifting and carrying items weighing up to 50 pounds, pushing and pulling of heavy objects.</li><li>Corrected vision and hearing to normal range.</li><li>Working under stressful conditions and working irregular hours.</li><li>Some exposure to communicable diseases or bodily fluids.</li></ul>Duties and Responsibilities 1. Provides cardiac and pulmonary rehabilitation and prevention services to a diagnostically and developmentally diverse population that is commensurate with the client's age, cognitive ability, and developmental needs. 2. Able to understand and determine all qualifying criteria for all Cardiac and Pulmonary patients. 3. Works collaboratively with cardiac rehabilitation staff, physicians and other departments to enhance the continuum of care and productive working relationships. 4. Develops and implements patient exercise and education care plans and programs according to prescribed treatment and clinical pathways. 5. Assesses and evaluates patient's physical, functional, and psychosocial status to assist patients in the design of an exercise, education, and lifestyle modification program to meet activities of daily living (ADL), recreational, and vocational needs. 6. Administers direct patient care, monitors vital signs and other signs and symptoms to assure medical stability. 7. Evaluates patients progress and creates or modifies goals and objectives, discharges with appropriate program to maintain and continue optimal lifestyle function and follows up with patient to determine adherence and success. Notifies physicians in a timely manner of problems of pertinent complication. 8. Documents patient assessments and progress according to departmental guidelines. Maintains accurate patient attendance and charge records for charging and billing process. 9. Assists with set up, storing, inventory, and maintenance of program equipment and supplies. 10. Provides and presents formal and informal exercise and risk factor topics to patients and families. 11. Maint

Billing Jobs in Wichita Falls, TX

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Billing Jobs in Wichita Falls, TX

SPEC- BILLING/COLLECTION United Regional Health Care

COORD- ACCOUNTS RECEIVABLES United Regional Health Care

Registered Nurse I Cardiopulmonary United Regional Health Care

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