Accounts Payable/Payroll Specialist
Houston, TX 77001
Ensures all clinical service providers are credentialed and added to all applicable contracts in a timely and efficient manner. Manages current employee's credentials to stay ahead of renewals.
Negotiates current insurance contracts to optimize reimbursement.
Researches new insurance providers, inquire about network requirements and participation.
Oversees and assist the department to obtain referrals and pre-authorizations as required for treatment.
Reviews patient bills for accuracy, completeness, and obtain missing information.
Oversees the transmission of claims using current billing software (TIMS), including electronic and paper claim processing.
Manages unpaid claims and denials within standard billing cycle timeframe.
Supervises each insurance payment for accuracy and compliance.
Identifies and ensures billing of secondary or tertiary insurances.
Sets up patient payment plans and works collection accounts.
Audits financial charts for completeness and compliance as outlined by the TMHP handbook.
Must have aHigh school diploma or GED. Associate's or Bachelor's Degree strongly preferred. Minimum of 3 years of Patient Access and/or Insurance Verification experience required.