We are seeking a detail-oriented and results-driven Medical Billing Account Representative to join our corporate office in Dallas, TX. This is an excellent opportunity to play a key role in supporting our healthcare partners by managing accounts receivable follow-up, ensuring accurate and timely claim resolution, and contributing to a smooth revenue cycle process in a professional office environment.

This position is responsible for monitoring outstanding insurance balances, identifying and resolving issues that delay claim payment, and collaborating with payers, patients, and clients as needed. The role also involves reviewing credit balances, validating reimbursement requests, and making recommendations to improve denial rates and reduce the overall age of accounts receivable.

About Us:

99 Healthcare Management is a Dallas-based physician practice management company. We help healthcare providers focus on their core skills – delivering high-quality care to their patients – by providing oversight and support for all administrative functions. Our service areas include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management. The practices we manage range in size and specialty and include internal medicine, family medicine, pain management, cardiology, OBGYN, and more.

Learn more about our office and culture by visiting www.99mgmt.com or our Facebook page.

Essential Functions:

• Reviewing outstanding insurance balances
• Thorough working knowledge of outpatient/hospital coding in multiple medical specialties.
• Identifying and resolving issues preventing finalization of claim payments which may include coordinating with payers, patients, and clients when appropriate
• Excellent ability to conduct coding audits to evaluate quality performance measures and using the findings to create written reports with recommendations; and then present education and feedback to facilitate improvement of documentation and coding.
• Exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation.
• Analyzing data and recording any noticed trends
• Recommending solutions to improve first-pass denial rates and reduce the age of overall AR
• Processing 40-60 claims daily
• Answering inbound customer/patient calls and questions
• Collecting balances on accounts
• Reviewing credit balances and validating reimbursement requests
• Initiating reallocation of refunds when appropriate
• Maintaining an in-depth working knowledge of the various applications associated with the workflows
• Ensuring all workflow items are completed within the set turn-around-time within quality expectations

Skills and Qualifications:

• High school diploma (other equivalents accepted) or equivalent combination of education and experience in healthcare required (Associate's degree preferred)
• Proficiency in MS Office Suite
• EMR experience required; E-Clinical Works and/or Athena preferred
• At least one year of experience handling physician office claims across various specialties
• Experience with internal medicine, family medicine, cardiology, pain management, or OBGYN preferred
• Coding and billing certification preferred
• Excellent command of the ICD-9-CM, ICD-10-CM, and CPT-4 classification systems
• Proficient and in-depth knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS and Evaluation and Management coding guidelines.
• Ability to handle stressful situations in a professional manner
• Ability to set priorities and work independently while maintaining a high degree of accuracy
• Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction
• Experience with provider enrollment preferred but not required

Schedule:

• Full-Time Monday through Friday, 8:00 AM - 5:00 PM. No weekends or after hours.

Benefits:

• 401(k) with matching*
• Medical, Dental, Vision Insurance
• Flexible Spending Account
• Disability and Life Insurance
• Paid Time Off
• Employee Assistance Program

*401(k) Retirement Plan – Our company offers a 401(k) plan with immediate vesting on employer contributions. Employees can start contributing after 6 months of employment with both pre-tax and Roth 401(k) options available. The company provides a 100% match on the first 3% of contributions and 50% match on the next 2%, fully vested from day one. Additional investment options, loan features, and rollover support are available. Annual contribution limits apply.