ArlingtonTXRecruiter Since 2001
the smart solution for Arlington jobs

PFS Associate IV- Medicare Collector

Company: Christus Health
Location: Irving
Posted on: August 24, 2019

Job Description:

Description
Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. In doing so, ensures that all claims billed and collected meets all government mandated procedures for Integrity and Compliance. Performs billing, collections and reimbursement services in a prompt and efficient manner. Provides thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documents, forwards, resolves incoming mail and correspondence. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission if related to diagnosis, charge and/or other clinical type data that RCBS would not have knowledge of. Ensures all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000.



Requirements
A. Experience:

Must have minimum of 2 years experience in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds.
Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred.
General hospital A/R accounts knowledge is required.
College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.

B. Education and Training:

HS Diploma or equivalency required
Post HS education preferred


C. Skills:

Must have good verbal and written communication skills in order to present and explain information to internal and external customers.
Ability to write letters.
Must have practical experience with Word, Excel, Adobe applications.
Must have ability to make independent decisions that are generally guided by established procedures.
Must have a desire to learn ethical and compliant business practices.
Must be able to handle sensitive, stressful and confidential situations and account information.
Must have excellent keyboarding and 10-key skill-set.
Must have knowledge to perform functions requiring the use of the internet.
Willingness and ability to learn new tasks.
Experience with the Medicare billing process -- what claims can be rebilled online vs doing a redetermination
Understanding of Medicare language
At least five years of experience billing, collecting and validating Medicare payment
Understanding of how and when to bill Medicare as secondary
Understanding of Medicare Dialysis billing
How to read the information in the Common Working File -- HMO coverage, Hospice dates, COB screens etc.
Hand's on experience with Medicare Remote -- DDE
Understanding of and exposure to Medicare Recovery Audit Contractor
Hand's on experience with working Medicare Status Locations (ex: RTP, Denied, Suspense)
Experience with compiling both Redeterminations and Reopening's of Medicare claims
Knowledgeable in locating and referencing CMS and/or Medicare Regulations


D. Licenses, Registrations, or Certifications:

None required

Keywords: Christus Health, Arlington , PFS Associate IV- Medicare Collector, Other , Irving, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


CDL-A Owner Operator Truck Driver - $1.00-MILE BASE PAY + MARKET PREMIUM PAY - Waco
Description: Call Today to Learn More About Our New Market Premium Pay for Solo Owner Operators Are you in it for the long haul John Christner Trucking is. 32 years in business, 1,300 mile length of haul, two
Company: John Christner Trucking
Location: Waco
Posted on: 09/21/2019

Get New Contractor Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Irving
Posted on: 09/21/2019

Looking to telecommute? Come join us!
Description: Nation's Premier Health Programs company is looking for leaders. Customer service skills are preferred. No experience is necessary. Internet and telephone
Company: Independent Benefit consultant-
Location: Irving
Posted on: 09/21/2019


Benefits Specialists
Description: Strong Health Benefit Company seeking Benefits Specialists. We are leading the way in Consumer Driven
Company: Freedom Homemakers
Location: Waco
Posted on: 09/21/2019

Scheduling Interviews - Work from home
Description: We are actively searching for highly motivated individuals to work individually yet as a team
Company: Careers Division
Location: Irving
Posted on: 09/21/2019

Seeking Homeworkers to work with Healthcare Origanization!
Description: Need income Want freedom Missing out on your children's life If this is you, we are looking
Company: Freedom Enterprise Inc.
Location: Irving
Posted on: 09/21/2019

FT/PT Training & Benefits Specialists
Description: Our 25 Year Old Health Benefits Company is seeking Responsible, Self-Motivated People to work PT/FT positions as Independent contractors, marketing to and enrolling new
Company: Ameriplan Careers
Location: Waco
Posted on: 09/21/2019

hairdresser
Description: Stylist At Great Clips, we know that stylists like you are most happy when they're cutting hair, so at a Great Clips salon, that's exactly what you get to do Want to be the best stylist in
Company: Great Clips, Inc.
Location: Waco
Posted on: 09/21/2019

Data Integration Specialist
Description: Description br The Healthcare Interface Developer III is responsible for regional or enterprise design, development and implementation of strategic architectures of healthcare interfaces at an enterprise (more...)
Company: Christus Health
Location: Irving
Posted on: 09/21/2019

Summer Intern - IT Ops
Description: Save Skills - Project Management - Analysis Skills When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and (more...)
Company: Vizient Inc
Location: Irving
Posted on: 09/21/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Arlington RSS job feeds