About Us:
OB/GYN Medical Center Associates is based on over 50 years of experience, knowledge, and learning. We take pride in our history, but our strategic focus is always centered on what is best for women today – and tomorrow. We invest in the latest medical technologies and communication to build a stronger relationship with every patient.
Overview of the Role:
The Claims Management Specialist is responsible for day-to-day management of the company’s revenue cycle tasks and assisting COO with managing vendors responsible for coding, claim creation and AR management.
Essential Job Duties:
- Work with COO to manage oversight of the claim creation and AR management including job assignments, monitoring and periodic reporting of performance against established achievement of KPIs, employee engagement, accountability, training and retention.
- Generates and communicates appropriate reporting related to the billing, remittance and coding to COO to ensure that problem areas are addressed proactively.
- Consistently works to provide opportunities for improved reimbursement, processes and organizational efficiencies.
- Direct contact for RCM vendors.
- Assists COO with new services and CPT implementations.
- Assists COO with prioritization and delegation of work.
- Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to team and management.
- Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
- Other duties as assigned
Competencies
- Leadership Skills
- Confidentiality
- Communication Proficiency
- Decision-Making Ability
- Problem Resolution
- Strategic Planning
- Superior verbal and written communication skills along with the ability to negotiate effectively
- Strong attention to detail, goal oriented, and has the ability to prioritize and manage multiple responsibilities
- Must be a team player
- Ability to prioritize, work independently, and maintain a professional/friendly demeanor.
Minimum Qualifications:
- High School Diploma
- 2+ years of experience working in a healthcare billing or health insurance work environment
- Knowledge of CPT/ICD-10 Coding and medical terminology
- Proficiency with healthcare EMR software and MS Office
Job Type: Full-time
Pay: $66,000.00 - $70,000.00 per year
Benefits:
- 401(k)
- 401(k) 4% Match
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Prescription drug insurance
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Experience:
- Healthcare Billing: 2 years (Required)
- EMR systems: 1 year (Required)
Ability to Commute:
- Houston, TX 77054 (Preferred)
Work Location: In person