IrvingRecruiter Since 2001
the smart solution for Irving jobs

PFS Associate IV- Medicaid Collector

Company: CHRISTUS Health
Location: Irving
Posted on: July 14, 2019

Job Description:

Description PFS Associate IV- 511440 Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. In doing so, ensures that all claims billed and collected meets all government mandated procedures for Integrity and Compliance. Performs billing, collections and reimbursement services in a prompt and efficient manner. Provides thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documents, forwards, resolves incoming mail and correspondence. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission if related to diagnosis, charge and/or other clinical type data that RCBS would not have knowledge of. Ensures all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000. Requirements A. Experience: Must have minimum of 2 years experience in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred. General hospital A/R accounts knowledge is required. College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience. B. Education and Training: HS Diploma or equivalency required Post HS education preferred C. Skills: Must have good verbal and written communication skills in order to present and explain information to internal and external customers. Ability to write letters. Must have practical experience with Word, Excel, Adobe applications. Must have ability to make independent decisions that are generally guided by established procedures. Must have a desire to learn ethical and compliant business practices. Must be able to handle sensitive, stressful and confidential situations and account information. Must have excellent keyboarding and 10-key skill-set. Must have knowledge to perform functions requiring the use of the internet. Willingness and ability to learn new tasks. Experience with the Medicare billing process -- what claims can be rebilled online vs doing a redetermination Understanding of Medicare language At least five years of experience billing, collecting and validating Medicare payment Understanding of how and when to bill Medicare as secondary Understanding of Medicare Dialysis billing How to read the information in the Common Working File -- HMO coverage, Hospice dates, COB screens etc. Hand's on experience with Medicare Remote -- DDE Understanding of and exposure to Medicare Recovery Audit Contractor Hand's on experience with working Medicare Status Locations (ex: RTP, Denied, Suspense) Experience with compiling both Redeterminations and Reopening's of Medicare claims Knowledgeable in locating and referencing CMS and/or Medicare Regulations D. Licenses, Registrations, or Certifications: None requiredPandoLogic. Keywords: Medical Billing Clerk, Location: Irving, TX - 75060

Keywords: CHRISTUS Health, Irving , PFS Associate IV- Medicaid Collector, Other , Irving, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Local CDL B Truck Driver - Home Daily! - Irving
Description: ROLLBACK DRIVER 750/CDLSunstate Equipment Co.Where Safety and People are Core Values --There is a unique feeling at Sunstate. You can feel it at any of our almost 70 locations across 11 states.If you (more...)
Company: Sunstate Equipment Co
Location: Irving
Posted on: 07/18/2019

Claims Representative - Multi-Line
Description: Wednesday, March 27, 2019 br br Are you looking for an opportunity to motivate others and turn talent into performance We're looking for an energetic, experienced claims professional to implement (more...)
Company: Central Insurance Companies
Location: Irving
Posted on: 07/18/2019

OTR CDL A Truck Drivers - $5,000 Sign On Bonus! - Irving
Description: Arctic Express is now hiring OTR CDL A Truck Drivers Here at Arctic Express we don't pretend to be a perfect company, but
Company: Arctic Express Inc
Location: Irving
Posted on: 07/18/2019


IT Internship
Description: Are you interested in an entry-level information technology IT role Year Up is a one-year, intensive program that provides young adults with hands-on skill development, corporate internships, an educational (more...)
Company: Year Up
Location: Irving
Posted on: 07/18/2019

OTR CDL A Entertainment Truck Drivers - Competitive Pay! - Irving
Description: Veriha Trucking is now hiring OTR CDL A Entertainment Truck Drivers --What We Offer: ul li Competitive Pay li You will be away from home until
Company: Veriha Trucking
Location: Irving
Posted on: 07/18/2019

Entry-level Business Operations Role
Description: Are you interested in an entry-level role in business operations br Year Up is a one-year, intensive program that provides young adults with hands-on skill development, corporate internships, an educational (more...)
Company: Year Up
Location: Irving
Posted on: 07/18/2019

CDL-A Truck Driver - $5K Sign-On - $70K-75K Avg Pay
Description: Professional CDL-A Delivery Driver br br br br About the Job: br br br --- 70,000-75,000 Avg Pay br br --- 5,000 Sign-On Bonus br br ---Set Schedule with Dedicated Routes Available (more...)
Company: McLane Company
Location: Irving
Posted on: 07/18/2019

CDL A Company Driver Job - Regional Routes - Great Pay
Description: What's on your calendar br br Epes Gets You Home so you can be there for your special moments. br br Regional Company Driver Jobs br br Great Pay Weekly Home Time br br br br WHAT (more...)
Company: Epes Transport System
Location: Waco
Posted on: 07/18/2019

Department Chair and Mary Gibbs Jones Endowed Chair of Family and Consumer Sciences
Description: Department Chair and Mary Gibbs Jones Endowed Chair of Family and Consumer Sciences Position Announcement Robbins College of Health and Human Sciences of Baylor University The Robbins College of Health (more...)
Company: Baylor University
Location: Waco
Posted on: 07/18/2019

Company Truck Driver - Irving
Description: Make up to 75,000 Annually .45/Mile Base Pay .03/Mile Productivity BonusHigh miles - weekly average of 3,200 milesMost Loads are Pre-Loaded
Company: Roadrunner Transportation Systems
Location: Irving
Posted on: 07/18/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Irving RSS job feeds