Methodist Health System ยท 1 week ago
AR II Specialist - Hybrid Position
Methodist Health System is a faith-based organization dedicated to improving lives through quality healthcare. They are seeking an experienced Accounts Receivable II (AR II) Specialist to manage outstanding accounts receivable and ensure timely reimbursement in their Central Business Office.
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Responsibilities
Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately
Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement
Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments
Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment
Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement
Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable
Be accountable for your performance
Always look for ways to improve the patient experience
Take initiative for your professional growth
Be engaged and eager to build a winning team
Qualification
Required
High School Diploma required
Two to four years of experience in healthcare revenue cycle management
Proficiency in medical billing software EPIC and electronic health record (EHR) systems
Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations
Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims
Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders
Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting
Ability to prioritize tasks, meet deadlines, productivity goals and work efficiently in a fast-paced environment
Preferred
College degree preferred
Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus
Company
Methodist Health System
Methodist Health System is a faith-based organization that aims to improve and save lives through compassionate and quality healthcare.
H1B Sponsorship
Methodist Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (9)
2024 (6)
2023 (8)
2022 (10)
2021 (2)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Recent News
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2022-01-27
2022-01-15
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