Top 17 houston methodist medical billing coding Jobs in houston, tx

Account Representative - Museum District
Houston Methodist Specialty Physician Group —Houston, TX
- Full-time
- Customer service
- Writing skills
- HIPAA
3d
Senior Compliance Coding Analyst - Business Practices (Medical Center)
Houston Methodist Specialty Physician Group —Houston, TX
- Full-time
- Customer service
- Writing skills
- English
Patient Access Center Representative
Houston Methodist Corporate —Katy, TX
- Full-time
- Hospital
- Word processing
- Writing skills
1d
System Manager Revenue Cycle Audit and Compliance
Houston Methodist Corporate —Katy, TX
- Full-time
- Writing skills
- English
- Mid-level
1d

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Senior Compliance Coding Analyst - Business Practices (Medical Center)
Houston Methodist Specialty Physician Group —Houston, TX
Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain…

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Account Representative - Museum District

Houston Methodist Specialty Physician Group -
Houston, TX

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Job Details

Full-time
3 days ago

Qualifications

Appeals
Customer communication
Managed care
Accounts receivable management
Customer service
Writing skills
Medical coding in physician offices
English
High school diploma or GED
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Computer skills
Patient interaction
Insurance claims appeal handling
Medical terminology
Negotiation
Collections account management

Full Job Description

At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for providing information regarding denial trends for future prevention.

FLSA STATUS
Non-exempt

QUALIFICATIONS

EDUCATION

High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

EXPERIENCE

Three years of physician billing experience, preferably in a multi-specialty physician practice

SKILLS AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
In depth knowledge of Current Procedural Terminology, 4th Edition (CPT-4), International Classification of Diseases Ninth Revision (ICD-9), International Classification of Diseases Tenth Revision (ICD-10), and Healthcare Common procedure Coding System (HCPCS) coding
In depth knowledge of third party payor reimbursement policies and procedures
Understands payor environment such as managed care, independent physician associations (IPAs), and third-party administrators (TPAs)
Extensive knowledge of billing, collections, reimbursement, contractual agreements and the appeals process
Understanding of revenue cycle fundamentals
Ability to follow-through and handle multiple tasks simultaneously
Excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff
Good judgment in handling of accounts and ability to apply a professional approach in dealing with patients and insurance companies
Sharp analytical abilities in order to resolve patient accounts in a timely and correct manner
Proficient computer skills and ability to learn and navigate multiple software programs

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

Collaborates with management to reduce aging of accounts by providing verbal and written communication.
Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates with internal CBO departments and Account Managers to communicate and prevent denials. Provides suggestions for resolution.
Assists with knowledge sharing, payor and department cross training, and provides support to other team members as advised by the manager and/or supervisor.

SERVICE ESSENTIAL FUNCTIONS

Completes special projects to improve team performance, as assigned.
Demonstrates expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department’s revenue cycle operations.
Ensures protection of private health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Reviews third party payor work queues to locate and resolve accounts. Resolves denials as they appear. Documents clear, concise and complete follow-up notes in system for each account worked. Assures accounts are completed and worked at a high level of quality by visually proofreading and monitoring work output.
Identifies, analyzes and escalates trends impacting accounts receivable (AR) collections.
Meets and/or exceeds established follow-up productivity goals.

FINANCE ESSENTIAL FUNCTIONS

Expedites and maximizes payment of insurance medical claims by contacting third party payors and patients. This includes making outbound calls to payors and accessing payor websites.
Reviews and assesses entire account to determine necessary steps or activity to resolve outstanding denials.
Performs appropriate billing functions, including claims resubmission to payors.
Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS Stays current on collection procedures of various payors and industry trends. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No

ON-CALL*

- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No

TRAVEL**

**Travel specifications may vary by department**

- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No

QUALIFICATIONS

EDUCATION

High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

EXPERIENCE Three years of physician billing experience, preferably in a multi-specialty physician practice

Company Profile:

Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.

Houston Methodist is an Equal Opportunity Employer.

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Refine Your Search

houston methodist medical billing coding jobs in houston, tx

Account Representative - Museum District

Senior Compliance Coding Analyst - Business Practices (Medical Center)

Patient Access Center Representative

System Manager Revenue Cycle Audit and Compliance

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