An Accounts Payable or Receivable Clerk keeps records of accounts and financial transactions, with specific responsibility for Accounts Payable/Receivable. Works for a business or bookkeeping service. Provides information for financial and tax reports completed by an accountant.
Company Overview "The Pain Rehabilitation Group of Wichita Falls is a dedicated pain management clinic committed to improving patients' quality of life through expert medication management and interventional pain procedures. We value compassionate care, innovation, and excellence in treatment." We are seeking a results-driven Medical Accounts Receivable Specialist to join our dedicated team. This ONSITE role focuses on the end-to-end management of claims for our specialty practice, ensuring accurate reimbursement and resolving complex billing challenges. This is a full-time onsite position. Will not consider a remote worker. The ideal candidate brings a high level of expertise to the revenue cycle, with a specific focus on navigating the intricacies of pain management reimbursement and payments.
Key Responsibilities Claims & A/R Oversight:
Monitor and manage the aging A/R reports, identifying and resolving claims older than 30 days.
Denial Management:
Analyze denied claims, identify root causes, and prepare formal appeals or corrected claims for complex specialty services.
Payer Communication:
Proactively follow up with commercial and government payers (Medicare/Medicaid) regarding unpaid or underpaid claims.
Patient Financial Counseling:
Communicate professionally with patients to explain statements, coordinate payment plans, and resolve billing inquiries.
Payment Posting:
Accurately post insurance and patient payments, adjustments, and recoupments to the appropriate accounts within the Practice Management system. Timely download explanation of benefits from various insurance carriers websites, and post to patient accounts.
Qualifications & Requirements Experience:
Minimum of 3-5 years of experience in Medical Accounts Receivable or Revenue Cycle Management. Specialized Knowledge (A Plus): Prior experience with Pain Management billing and coding (e.g., interventional procedures, injections, and E/M coding) is highly preferred.
Online Payment Portal:
Recent experience with a variety of insurance payment portals to retrieve portal payments.
Technical Proficiency:
Experience with major EHR and Practice Management systems (e.g., Athenahealth).
Industry Standards:
Solid understanding of ICD-10, CPT, and HCPCS coding, as well as strict adherence to HIPAA regulations.
Education:
High school diploma required; professional billing certification (e.g., CPB or CPC) is a significant advantage.
Professional Skills Analytical Thinking:
Ability to investigate complex claim denials and identify trends in payer behavior.
Attention to detail:
This position requires the ability to precisely identify and verify claim payments in accordance with contractual allowable amounts. The successful candidate must possess a deep understanding of insurance carrier allowables and contractual write-offs to accurately post and reconcile payments with 100% accuracy.
Independent:
This role requires a dependable, accountable professional who thrives with minimal supervision. The ideal candidate is a proactive self-starter who fully grasps the significance of this position, consistently executing tasks with a strong sense of urgency and a commitment to precision.
Attendance:
Perfect attendance is required for this full-time, five-day-a-week position. The ideal candidate must be fully dedicated and able to commit 100% of their professional focus and attention to the responsibilities of this role.
Communication:
This role demands exceptional verbal and written skills necessary for effectively negotiating with insurance companies and navigating sensitive financial discussions with patients. The ideal candidate will maintain a high level of professionalism at all times, demonstrating the ability to communicate and build strong rapport with physicians, patients, and colleagues alike.
Accuracy:
Meticulous attention to detail in handling high-volume accounts and data entry. Why Join Us? Competitive salary Company paid health and vision insurance. Generous Paid Time Off (PTO) and holiday schedule. 401 K Contribution after one year of service. A professional, collaborative environment focused on patient care and financial integrity. How to
Apply:
Please submit your resume and a brief cover letter highlighting your experience with accounts receivable experience and any specific background in pain management billing.
Pay:
$17.00 - $25.00 per hour
Benefits:
401(k) Health insurance Paid time off Vision insurance Application Question(s): Please list all EMR systems that you have worked accounts receivable on. What is your desired hourly wage? (Do not leave this question blank or answer with negotiable) This is an onsite position, and will not be considered for remote. Please acknowledge that you have read this requirement and respond with the city and state you reside in.
