Healthcare Claims Intake Specialist

About the Company

Our client is an expanding anesthesia practice management organization focused on providing accurate, efficient, and compliant revenue cycle solutions. They work with a team of proficient anesthesia providers at their corporate office and collaborate closely with clinical and administrative personnel to deliver exceptional service to both patients and providers. Committed to operational excellence within a cooperative culture, they are growing their team to manage rising demand.

Job Overview

The role of Healthcare Claims Intake Specialist is pivotal as the initial contact for all incoming anesthesia-related claims, safeguarding the revenue cycle's integrity. Daily duties involve reviewing intricate procedural documents, verifying insurance coverage for patients, accurately entering billing information into practice management systems, and monitoring claim statuses from submission to resolution. This position directly influences the organization's financial health and the quality of patient care provided.

Based on-site at the corporate office in Addison, TX, this full-time position reports to the Vice President of Revenue Cycle Management. Collaboration with clinical providers, administrative teams, and insurance representatives is essential to maintain smooth communication and resolve claim-related issues efficiently. The ideal candidate possesses keen attention to detail, comprehensive knowledge of anesthesia billing, and dedication to accurate, first-time work.

Responsibilities

• Examine, verify, and process healthcare claims related to anesthesia services.
• Precisely enter patient details, procedural codes, and billing data into practice management software.
• Validate patients' insurance coverage and benefits before procedures.
• Confirm completeness and compliance of all required documentation with insurer guidelines.
• Monitor claim progress and follow up on outstanding or denied claims.
• Liaise with healthcare providers, insurers, and patients to address and resolve claim concerns.

Qualifications

• At least two years of experience in medical billing or processing healthcare claims.
• Familiarity with CPT, ICD-10, and HCPCS coding systems.
• Understanding of anesthesia billing processes and ASA modifiers.
• Competency with practice management and electronic medical record (EMR) systems.
• Strong organizational skills and precise attention to detail.
• Excellent communication abilities, both verbal and written.
• Demonstrated problem-solving skills and the ability to juggle multiple tasks.

Preferred Attributes

• Experience in anesthesia or surgical practice management environments.
• Knowledge of various insurance payers and their claims submission platforms.
• Familiarity with managing claim denials and appeals.

Education

• High school diploma or equivalent required.
• Associate degree in Healthcare Administration or related discipline preferred.

Compensation and Benefits

• Hourly pay ranging from $21 to $25, depending on experience.
• Health, dental, and vision insurance coverage.
• 401(k) plan with a 3% guaranteed company contribution.
• Opportunities for professional growth and development.
• A collaborative and supportive workplace environment.
• Options for direct hire or contract-to-hire engagement.