HCFS, Inc.

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Billing Follow-Up Specialist

Billing Follow-Up Specialist

Job ID 
2017-1217
Job Locations 
US-TX-Frisco
Category 
Contact Center/Outpatient Eligibility Operations
Type 
Regular Full-Time

More information about this job

Overview

WHY WE NEED YOU 

HCFS, Inc. is a Revenue Cycle Solution and Third-Party Eligibility Company hired by hospitals and hospital systems to maximize their business office processes and minimize the amount of bad debt incurred from self-pay patients.  Our clients hire HCFS to be Subject Matter Experts to simplify and handle their out-of-state Medicaid and Workers’ Compensation account billing procedures timely and effectively, while correcting any claim denials to ensure maximum reimbursement.

 

Responsibilities

Your role, as our Billing Follow-Up Specialist, involves:

  • Generating revenue by applying commercial insurance and third party payer program coverage (including Medicare and Medicaid) to patient accounts
  • Utilizing hospital insurance and follow up / collections experience to finalize insurance payments
  • Identifying underpayments, denials and re-bill attempts
  • Reviewing charges and insurance information and reconciling accounts for accuracy

You will be part of a larger, HCFS team! Establishing strong professional relationships with our hospital contacts and HCFS team is imperative. Your individual success, as well as the profitability of the hospital and HCFS relies on your efforts to Provide a Collaborative environment.

 

We can make a difference in our communities with our solid business model.  You should Expect Excellence each and every day!

 

Qualifications

THE “MUST HAVES” (aka the Minimum job requirements)

  • Hospital insurance related account receivable management experience
  • Hospital insurance related follow-up or collection experience (commercial insurance, Medicaid, Medicare)
  • Strong knowledge of National Uniformed Billing Code
  • Knowledge of CPT and ICD-9/10 codes, HCFA 1500 and UB04 forms
  • Working knowledge of Explanation of Benefits (EOB) interpretation
  • High School Diploma or equivalent work experience is required
  • Consistent punctuality and attendance is required

PM17