Account Resolution Specialist

Our patients are our number one priority! We’re committed to giving children back their childhood!

Job Posting Title:

Account Resolution Specialist

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday

8:00 am - 4:30 pm

Job Description:

Duties/Responsibilities

Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payer guidelines

Review and resolve credit balances in a timely manner

Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts

Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payers

Review payer denial reasons and appeal with supporting documentation for complete reimbursement

Follow-up with payers and families routinely to provide assistance to expedite payments

Assist with training and development of account follow-up methods and procedures

Required Skills/Abilities

High school diploma or equivalent required

Minimum of 1 year of patient account follow-up experience in the healthcare field with a clear understanding of contractual reimbursement and adjustments

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