University of Texas Medical Branch

University of Texas Medical Branch.

  • Galveston, TX


  • Irreversible.

  • Full-time.

Minimum Qualification:

High School Diploma or comparable. 2 years of monetary experience or one year of client accounts experience.

Job Description:

The Patient Account Specialist will be accountable for billing all 3rd party payers through a claims processing supplier and/or for appeal of rejected expert and/or health center claims. Recognizes billing concerns impacting health center and/or doctors claims/accounts and takes essential action to make sure prompt and proper claim filing. Carries out follow-up activities and determines compensation problems impacting these claims. Takes essential actions to guarantee prompt and proper repayment and account resolution.

Job Duties:

  • Demonstrates a level of skills and understanding of all state and federal laws, guidelines and policies relating to payer billing standards
  • Demonstrates a fundamental understanding of CPT, ICD-9, HCPCS, modifier coding along with POS requirements
  • Billing payers and/or customers for healthcare facility and/or Professional Patient Accounts
  • Resolves Payer rejections from billing system day-to-day to expense send health center and/or doctors claims
  • Performs online corrections to modified claims according to treatments
  • Performs comprehensive follow-up activities on designated accounts according to treatments
  • Responds to day-to-day correspondence according to treatments
  • Identifies rejections and underpayments for appeal
  • Reviews, investigates and processes rejected claims
  • Appeal declares as suitable according to policies and treatments
  • Updates account info and files as suitable within Epic Resolute
  • Processes account modifications according to policies/procedures
  • Issues payer and/or client refunds according to policies/procedures
  • Validates precision of payments and/or modifications on accounts
  • Resolves impressive accounts at needed precision and performance requirements
  • Maintains extensive understanding of the work system designated
  • Assists in the advancement of department policies and treatments
  • Adheres to recognized policies and treatments
  • Adheres to internal controls and reporting structure
  • Maintains open and expert interaction with clients, coworkers and suppliers
  • Performs well in a group environment.
  • Prioritizes and finishes all operate in a precise, efficient and effective way
  • Participates in group meetings/activities and supports the viewpoint and objectives of the group and department
  • Assists in the training and mentoring of brand-new staff members
  • Reads all statements and appropriate interactions associating with task tasks
  • Performs associated responsibilities as needed.

Preferred Skills:

Epic System, Medicaid and Managed Medicaid Hospital Denials and Follow-up

Work Schedule:

Monday through Friday 8: 00 am-5: 00 pm

Salary Range:

Actual income commensurate with experience.

Equal Employment Opportunity

UTMB Health makes every effort to supply level playing field work without regard to race, color, faith, age, nationwide origin, sex, gender, sexual preference, gender identity/expression, hereditary details, impairment, veteran status, or any other basis secured by institutional policy or by federal, state or regional laws unless such difference is needed by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to employ and advance ladies, minorities, safeguarded veterans and people with impairments.

Compensation

University of Texas Medical Branch.

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