Account Resolution Specialist
Scottish Rite for Children · Dallas–Fort Worth, TX
📍 Dallas, TXvia workday
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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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