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QC Kinetix Dallas/Houston
Houston, TX, United States
Benefits: Dental insurance Health insurance Vision insurance QC Kinetix is the fastest-growing and leading regenerative medical practice in the country, with 9 clinics in Dallas / Fort-Worth and Houston and over 180 across the United States. We are looking for an outstanding Medical Sales Patient Coordinator to work part-time at multiple clinic
Job Source: QC Kinetix Dallas/HoustonBaylor College of Medicine
Houston, TX, United States
Coordinator, Patient Accounts Receivable Press Tab to Move to Skip to Content Link Home Explore Careers Benefits Job Seeker Resources Connect With Us Log In Job Description Apply now Job Title: Coordinator, Patient Accounts Receivable Division: Patient Business Services Work Arrangement: Hybrid Location: Housto
Job Source: Baylor College of MedicineHouston Journal of Health Law & Policy
Houston, TX, United States
Description Coordinates and provides senior-level administrative support and coordination for academic administration and curriculum delivery to an ongoing program of the college. Coordinates program to ensure that implementation and prescribed activities are carried out in accordance with specified objectives. Participates in planning and develop
Job Source: Houston Journal of Health Law & PolicyInnovista LLC
Houston, TX, United States
Do you wake up every morning inspired to solve problems and make a meaningful impact in health care? If so, we want to hear from you. Innovista Medical Center is more than a clinic. It's a community hub. Many still feel unseen, unheard, and unsupported when seeing a health care provider. By putting our patients' needs first, we are transforming wh
Job Source: Innovista LLCColorado Center for Reproductive Medicine
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Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility’s diverse team of professionals, you will be a part of helping families grow and changing lives. We take
Job Source: Colorado Center for Reproductive MedicineHanger
Houston, TX, United States
Why Us?: With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care
Job Source: HangerArike Aesthetics
Houston, TX, United States
We are currently seeking an experienced, passionate, motivated cosmetic surgery patient care coordinator for our new Plastic Surgery and Aesthetics practice located in beautiful Montrose neighborhood in Houston, TX. Candidates must have a passion for the cosmetic surgery industry, customer service, skincare and sales. Commission based incentives! J
Job Source: Arike AestheticsJersey Village Animal Hospital
Houston, TX, United States
Overview Jersey Village Animal Hospital has an opportunity for a full time Patient Care Coordinator to join our team! Location: 17341 Village Green Dr., Houston, Texas 77040 Compensation: $12 - $15 / hr (based on experience) What We Offer: A dynamic and supportive team environment where collaboration and compassion are valued. Opportunit
Job Source: Jersey Village Animal HospitalHouston
Job Description Job Description
POSITION SUMMARY:
The System Coordinator, Patient Accounts II serves as the secondary gatekeeper for the Nexus Health Systems Business Office. This position is responsible for handling Central Business Office incoming telephone calls, correspondence, and patient account documentation for accounts assigned aged 61+. Position confirms that the patient financial folder contains the completed and appropriate billed claims; billing account documentation supports the expected reimbursement for timely and accurate collections per the contract. The position creates Federal and State mandated reporting.
JOB-SPECIFIC RESPONSIBILITIES:
1. Responds to telephone calls, working with those that are routine in nature, or routing the appropriate staff member as calls occur.
2. Confirms admission documentation from the facilities and the CBO biller; the claim documentation is accurate compared to the assigned payer per contract guidelines.
3. Communicates internally/externally to obtain additional patient information to collect timely and per the contract.
4. Confirms claims were billed and received for accounts assigned.
5. Confirm patient financial folders are assembled and maintained sequentially. Confirm claims were billed and correspondence matches to the appropriate patient account when filing completed EOBs.
6. Requests rebill claims as payers identify no claim on file or claim denied by providing appropriate requests to billers. Obtain complete information from the payer to rectify and allow claims to be billed correctly and timely via paper and/or electronic to have claims reimbursed timely.
7. For claims submitted timely and accurately that remain unpaid past the contract requirements must be pursued for 100% of total charges.
8. Confirm claims submitted electronically have been received with no rejections.
9. Claims rejected or not confirmed received are to be requested from the biller immediately. Provide information to ensure the claim is submitted correctly to the biller. Mandatory to work and collect on estimated 35 accounts per day. Account documentation is required.
10. Document payment, adjustment, patient responsibility daily as EOBs are received or verified electronically.
11. Submit Adjustments within 24 hours of receipt of posting payments or receiving EOBs. The claim must be resolved within the same month the payment is posted.
12. Document collection efforts taken on each account billed for claims aged 60+ days. All actions taken must be noted. Collections or billing confirmation can be obtained via phone call to the payer, lockbox, or online.
13. Mandatory to work 35+ accounts from aging daily.
14. Prepares and summarizes accounts actions for accounts aged 90+ for monthly CEO AR call.
15. Responds to correspondence within 24 hours from the date of receipt.
16. Communicates with facility personnel to coordinate patient documentation required to appeal or rectify payments.
17. Forward denial correspondence to the appropriate staff to assist with appeals.
18. Files all bills, appeals, communication to each patient/claim appropriately in the patient chart.
19. Identify credit balances monthly and prepare adjustments to refund appropriate credits before the end of each month for Federal and State-funded agencies. (Medicare, Managed Medicare, Medicaid, Managed Medicaid, DARS).
20. Credit balances on non-Federal or State Funded claims are prepared on the adjustment sheets and forwarded to Refund Pending, waiting for refund requests from payers.
21. Work accounts assigned on aging twice per month. Follow-up is required every 7-14 days, depending on how the claim was billed.
22. Pull paid accounts monthly from patient files to box and store. Confirm the file is complete and in order before boxing if the file is reviewed during any audit processes.
23. Identify any internal/external changes, processes, procedures, etc. that may create reimbursement issues.
24. Assists other CBO employees as necessary.
25. Performs all other duties as assigned.
POSITION QUALIFICATIONS:
EDUCATION:
• A high school diploma is required
• One to two years college preferred.
EXPERIENCE:
• Minimum of one (1) year of experience in a hospital business office setting, or at least one year of experience in the medical billing/collection field.
LICENSURE/CERTIFICATION:
• None required
Email Alert for System Coordinator Patient Accounts II - Medical Collector jobs in Houston
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