Dallas TX, United States of America
17 hours ago
Reimbursement Coordinator II

Job Functions, Duties, Responsibilities and Position Qualifications:

We're not just a workplace - we're a Great Place to Work certified employer!

Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!

We're not just a workplace - we're a Great Place to Work certified employer!

Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!

Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions.

Location: Dallas, Texas

Days: Monday - Friday

Hours: 7:30 am - 4:00 pm

Full-time: Benefit Eligible

In this role, you will:

Understand all aspects of the billing system to properly perform job responsibilities.Follow-up on outstanding A/R balances in a timely manner.Manage assigned accounts related to denials, claim rejections and unprocessed claims.Review payer correspondence and respond accordingly.Research denied claims thoroughly to determine proper resolution.Use proper appeals/reconsideration protocol specific to each health plan as required to further collections’ efforts.Research payer policies to ensure proper processing and resolution of denied claims and/or appeals.Contact insurance companies as needed for appeals/reconsideration status on outstanding appeals.Perform necessary adjustments as outlined by payer contracts and management.Ensure claims are processed according to network requirements and in alignment with ProPath’s contracts.Identify payer trends related to reimbursement issues, denial patterns, payment discrepancies, etc. to ensure quick resolution and maximize revenue.Back-up Patient Call Center as needed to ensure patient/client calls are handled in a timely and professional manner.

All you need is:

High School Diploma or equivalent3 years of medical billing experienceBasic knowledge of CPT/ICD-10 and HCPCS codes, modifiers and CMS 1500 professional claims processing required. Ability to effectively communicate orally and in writing with payersKnowledge of Medical Insurance claim processing a mustFamiliarity with Microsoft software including Excel, Word, and Outlook. ​

Bonus points if you’ve got:

Associate’s Degree or Medical Assistant training2+ years of laboratory training or experience in specimen collection and processingData entry experience in a production environment

We’ll give you:

Appreciation for your workA feeling of satisfaction that you’ve helped peopleOpportunity to grow in your professionFree lab services for you and your dependentsWork-life balance, including Paid Time Off and Paid HolidaysCompetitive benefits including medical, dental, and vision insuranceHelp saving for retirement, with a 401(k) plus a company matchA sense of belonging – we’re a community!

Company:

Sonic Anatomic Pathology

We also want you to know:

This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards.  Employees are expected only to access PHI when it is required to fulfill job duties.

Scheduled Weekly Hours:

40

Work Shift:

Job Category:

Accounts Receivable

Company:

ProPath Services, LLC

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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