Full-Cycle Billing Specialist
Texas
Category: Healthcare
Reference ID: 10081859
Shortcut: http://addisongroup.gosnaphop.com/3OjMku
Job title: Full-Cycle Billing Specialist
Location: Texas
Industry: Healthcare / Infusion Revenue Cycle
Pay: $22.00 - $26.00 / Per Hour (Based on years of experience)
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a healthcare organization specializing in infusion services seeking an experienced Full-Cycle Billing Specialist.
Job Description:
The Full-Cycle Billing Specialist will take ownership of complex accounts that require additional research and resolution beyond standard billing and collections processes. This role requires strong infusion revenue cycle experience and the ability to independently troubleshoot payer, denial, reimbursement, and high-dollar A/R issues.
Key Responsibilities:
- Manage escalations involving complex billing, collections, denials, and reimbursement issues.
- Research and resolve complex and high-dollar A/R accounts.
- Investigate payer issues, underpayments, denials, and reimbursement discrepancies.
- Handle denials management, appeals, and payer follow-up through resolution.
- Partner with internal teams and third-party RCM vendors to resolve escalated accounts.
- Identify recurring denial and payer trends and recommend process improvements.
- Provide RCM expertise during client and internal discussions as needed.
- Maintain accurate documentation and track escalated accounts through resolution.
- Support initiatives focused on reducing A/R and improving collections.
Requirements:
- Infusion billing and collections experience required.
- 5+ years recent experience of full-cycle medical billing and collections experience.
- Strong knowledge of denials, appeals, A/R follow-up, and reimbursement.
- Experience with Medicare, Medicaid, and commercial payers.
- Experience with specialty pharmacy, biologics, oncology, rheumatology, or other specialty services is a plus.
- Experience with Availity, or similar RCM platforms preferred.
- Strong analytical, problem-solving, and communication skills.
- Must be reliable, detail-oriented, adaptable, and comfortable in a fast-paced environment.
Additional Details:
- Flexible schedule, typically around 8:00 AM–5:00 PM within the employee's time zone.
- Equipment is provided.
- Virtual interview process.
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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