Job Description

Job Title: Accounts Receivable Specialist – Revenue Cycle

Location: Irving, Texas

Employment Type: Full-Time

MUST HAVE ORTHOPEDIC EXPERIENCE

Overview:

A leading and well-established orthopedic and sports medicine practice is seeking an experienced Accounts Receivable (AR) Specialist to join their growing Revenue Cycle team. This organization offers a positive culture, opportunities for career growth, and has proudly served the DFW metroplex for over 30 years.

Key Responsibilities:

• Ensure accurate submission of claims, including proper coding (CPT, modifiers) for ancillary services (physical therapy, DME, home health), clinical visits, and surgical procedures.
• Adhere strictly to billing compliance regulations, including the correct use of modifiers and avoidance of unbundling.
• Compile and submit supporting medical documentation (chart notes, imaging reports, operative notes) for appeals and claims.
• Review and document patient and insurance correspondence in a timely and organized manner.
• Update patient insurance and demographic information in the system as notified.
• Research and verify accuracy of insurance payments, adjustments, and address billing inquiries from patients or insurers.
• Support the verification team with procedure authorizations and patient balance questions.
• Manage clearinghouse messages and assist the Revenue Cycle Manager in administrative tasks.
• Design and facilitate relevant training programs for billing team members to enhance technical skills.
• Maintain payment plans and follow up on delinquent patient and insurance accounts.
• Review and post necessary adjustments to reduce AR balances.
• Conduct audits of clinic batches related to posting and collections.
• Process and review refund requests according to internal policies.
• Assist with patient and insurance AR recovery and collections.

Qualifications:

• Minimum of 2 years of AR experience including appeals, reconsiderations, and CPT coding.
• At least 2 years working in an orthopedic practice
• Knowledge and experience working with various insurance types including Commercial, Medicaid, and Workers’ Compensation.
• Strong understanding of medical billing compliance and revenue cycle operations.

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