About R3

R3 Wound Care & Hyperbarics (R3) is an innovative, alternative, and patient-centric provider of healthcare services across the Dallas Fort Worth (DFW) metroplex, Houston, and San Antonio. We are entering an exciting phase as a company, with a strategic focus on enhancing the current clinical delivery model and platform, and then leveraging that platform to grow the business and the footprint of our clinics. Our culture at R3 is predicated on each one of our employees’ willingness to pitch in, wherever necessary, to ensure our patients are served at the highest quality levels of care and comfort.

R3 Benefits:

Our team members receive personal satisfaction knowing that they are helping people heal. Additionally, they receive a very competitive base compensation and attainable monthly incentive pay. Eligible team members also receive a comprehensive benefits package including PTO, Holiday, Bereavement, and Maternity Leaves; 401k; company sponsored health and dental insurances; a full array of voluntary benefits; continuous training; and professional development, led by the R3 Revenue Cycle Manager.

The Position:

This job requires strong analytical and technical abilities and demands fast, but carefully thought-out results. Strong leadership and control of the work process from beginning to end is necessary. The job centers around developing new ideas, systems and technology, and also analyzing and improving on old ones. A high level of expertise is expected and the ability to spot and correct errors is important. Work must be done right and quickly, while always focusing on accomplishing the goal and demanding the highest quality work from co-workers and subordinates. Interest and energy focuses primarily on the work at hand, with negligible inclination for small talk or social involvement. The broad scope of the job demands a factual, direct and authoritative style of communication. Decision-making, though swift, is very calculated and singular, with little reliance on consensus or collaborating opinions.

Job purpose:

Utilize personal and professional skills to represent R3 by verifying correct coding and entering medical claims in EHR system

Duties and responsibilities:

• Effectively communicate with insurance companies to verify patient billing
• Responsible for scanning, faxing and emailing billing documents as needed
• Complete Billing audits (monthly or as needed)
• Create weekly reports as required and distribute accordingly
• Complete projects/task by assigned deadline
• Effectively communicate with clinic administrators as needed regarding patient/physician office updates and concerns
• Understand and follow proper billing procedures
• Comply with all patient privacy and HIPAA rules
• Enter charges accurately and on a timely manner to ensure proper records handling and fast payment processing.
• Research and provide insight on any billing issues that may arise
• Understand managed care authorizations and limits to coverage such as the number of visits or medical policy and patients benefit plan
• Review patient charts to ensure billing code accuracy
• Ability to locate ICD10 diagnosis, and CPT treatment codes from online sources or traditional coding references utilizing the patient’s medical records.
• Processing and applying patient payment plans.
• Knowledgeable about the insurance and reimbursement process
• Create weekly deposit batch
• Upload EOBs and $0 pay statements
• Maintain the Provider Log in a timely manner
• Special projects as assigned