Revenue Success Advocate (Accounts Receivable Specialist) ONSITE at Goodside Health/Urgent Care for Kids

Fort Worth, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

31 Aug, 26

Salary

0.0

Posted On

02 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claim Follow-Up, Denial Resolution, Appeals Management, Payment Verification, Patient Account Management, Data & Trend Analysis, Medical Coding, Insurance Payer Portals, EOB Interpretation, Microsoft Excel, EMR Systems, Healthcare Terminology, Problem-Solving, Time Management, Written Communication, Verbal Communication

Industry

Medical Practices

Description

Description Job Summary / Objective: The Revenue Success Advocate is responsible for ensuring timely and accurate reimbursement of claims by managing accounts receivable workflows, including claim follow-up, denial resolution, payment review, and account reconciliation. This role plays a critical part in maintaining the organization’s financial performance through proactive account management, collaboration with payors and internal stakeholders, and delivery of high-quality customer service to patients and clinic partners. Key Responsibilities: • Claim Follow-Up & Collections: Proactively contact insurance payers to obtain claim status updates, resolve discrepancies, and secure reimbursement on outstanding balances. Process claim corrections, resubmissions and account adjustments as needed. • Denial Resolution: Investigate denied or underpaid claims by reviewing medical records, coding, and payer guidelines; take corrective action to ensure proper reimbursement. • Appeals Management: Prepare, write, and submit detailed appeals for complex or escalated denials while ensuring compliance with payer requirements and regulations. • Payment Verification: Review and validate insurance payments against contractual rates; identify and resolve underpayments or inaccuracies. • Patient Account Management: Maintain accurate patient financial records, document all activity and follow-up actions, and ensure timely resolution of outstanding balances. • Correspondence Review & Response: Review insurance and patient correspondence to determine appropriate action; respond to patient billing concerns and questions with clear, timely, and professional communication. • Data & Trend Analysis: Review clearinghouse rejections, denial trends, and payment patterns; identify root causes and recommend process improvements. • Cross-Functional Coordination: Collaborate with providers, clinical staff, and internal teams to obtain necessary documentation, referrals, and authorizations for claim resolution. • Productivity and Quality: Meet established productivity, quality, and accuracy standards. --- Additional Duties & Skills: • Perform payment posting, including accurate application of insurance and patient payments. • Provide patient and clinic customer service by addressing billing inquiries and resolving concerns promptly and professionally. • Conduct daily charge review to verify accuracy and completeness prior to claim submission. • Serve as backup support for charge entry and payment posting functions to ensure operational continuity. • Identify and support process improvement opportunities within revenue cycle workflows. • Participate in team initiatives and special projects as assigned. --- Required Skills & Abilities: • Expertise in navigating and querying insurance payer portals and websites • Strong ability to read and interpret Explanation of Benefits (EOBs) • Proficiency in healthcare terminology and medical coding fundamentals (CPT, HCPCS, ICD) • Excellent time management and organizational skills with ability to manage high-volume workloads • Strong written and verbal communication skills • Ability to effectively communicate with patients, payors, and internal stakeholders • Competency in Microsoft Office 365, especially Excel • Strong attention to detail and problem-solving ability --- Education & Experience: Required: • High school diploma or equivalent • Minimum of 2 years of experience in insurance payment posting and/or accounts receivable follow-up across multiple payors • Experience working in an Electronic Medical Record (EMR) system --- Preferred: • Experience with denial management and appeals processes • Familiarity with payer contracts and reimbursement methodologies • Certification in medical billing or coding (e.g., CPC, CPB)

Responsibilities

Manage accounts receivable workflows including claim follow-up, denial resolution, and payment review to ensure timely reimbursement. Collaborate with payers and internal stakeholders to resolve billing discrepancies and maintain financial performance.