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Account Resolution Specialist

Scottish Rite for Children

Dallas, TX, USonsite

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About this role

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title: Account Resolution Specialist Location: Dallas - Hospital Additional Posting Details: Monday - Friday 8:00 am - 4:30 pm

Job Description:

Duties/Responsibilities • Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payer guidelines 

• Review and resolve credit balances in a timely manner

• Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts

• Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payers

• Review payer denial reasons and appeal with supporting documentation for complete reimbursement

• Follow-up with payers and families routinely to provide assistance to expedite payments

• Assist with training and development of account follow-up methods and procedures

Required Skills/Abilities • Minimum of two years of experience managing patient account follow‑up within a revenue cycle environment (required)

• Demonstrated ability to analyze payer denials and determine appropriate next steps for resolution (required)

• Clear understanding of how to execute effective resolution strategies, including preparing appeal letters (required)

• Strong understanding of payer contracts, reimbursement methodologies, and adjustments (preferred)

• Familiarity with clinical documentation requirements to verify basic coding compliance (preferred)

Salary insight

This posting doesn't disclose pay. Across 1,015 Dallas jobs with disclosed salaries on ForgeApply, the median is $140k.

Based on live postings with disclosed pay on ForgeApply; refreshed daily. Not an estimate of this employer's offer.

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