Patient Accounts II
3 months ago
POSITION SUMMARY:
The System Coordinator, Patient Accounts II serves as the secondary gatekeeper for the Nexus Health Systems Business Office. This position is responsible for handling Central Business Office incoming telephone calls, correspondence, and patient account documentation for accounts assigned aged 61+. Position confirms that the patient financial folder contains the completed and appropriate billed claims; billing account documentation supports the expected reimbursement for timely and accurate collections per the contract. The position creates Federal and State mandated reporting.
JOB-SPECIFIC RESPONSIBILITIES:
1. Responds to telephone calls, working with those that are routine in nature, or routing the appropriate staff member as calls occur.
2. Confirms admission documentation from the facilities and the CBO biller; the claim documentation is accurate compared to the assigned payer per contract guidelines.
3. Communicates internally/externally to obtain additional patient information to collect timely and per the contract.
4. Confirms claims were billed and received for accounts assigned.
5. Confirm patient financial folders are assembled and maintained sequentially. Confirm claims were billed and correspondence matches to the appropriate patient account when filing completed EOBs.
6. Requests rebill claims as payers identify no claim on file or claim denied by providing appropriate requests to billers. Obtain complete information from the payer to rectify and allow claims to be billed correctly and timely via paper and/or electronic to have claims reimbursed timely.
7. For claims submitted timely and accurately that remain unpaid past the contract requirements must be pursued for 100% of total charges.
8. Confirm claims submitted electronically have been received with no rejections.
9. Claims rejected or not confirmed received are to be requested from the biller immediately. Provide information to ensure the claim is submitted correctly to the biller. Mandatory to work and collect on estimated 35 accounts per day. Account documentation is required.
10. Document payment, adjustment, patient responsibility daily as EOBs are received or verified electronically.
11. Submit Adjustments within 24 hours of receipt of posting payments or receiving EOBs. The claim must be resolved within the same month the payment is posted.
12. Document collection efforts taken on each account billed for claims aged 60+ days. All actions taken must be noted. Collections or billing confirmation can be obtained via phone call to the payer, lockbox, or online.
13. Mandatory to work 35+ accounts from aging daily.
14. Prepares and summarizes accounts actions for accounts aged 90+ for monthly CEO AR call.
15. Responds to correspondence within 24 hours from the date of receipt.
16. Communicates with facility personnel to coordinate patient documentation required to appeal or rectify payments.
17. Forward denial correspondence to the appropriate staff to assist with appeals.
18. Files all bills, appeals, communication to each patient/claim appropriately in the patient chart.
19. Identify credit balances monthly and prepare adjustments to refund appropriate credits before the end of each month for Federal and State-funded agencies. (Medicare, Managed Medicare, Medicaid, Managed Medicaid, DARS).
20. Credit balances on non-Federal or State Funded claims are prepared on the adjustment sheets and forwarded to Refund Pending, waiting for refund requests from payers.
21. Work accounts assigned on aging twice per month. Follow-up is required every 7-14 days, depending on how the claim was billed.
22. Pull paid accounts monthly from patient files to box and store. Confirm the file is complete and in order before boxing if the file is reviewed during any audit processes.
23. Identify any internal/external changes, processes, procedures, etc. that may create reimbursement issues.
24. Assists other CBO employees as necessary.
25. Performs all other duties as assigned.
POSITION QUALIFICATIONS:
EDUCATION:
• A high school diploma is required
• One to two years college preferred.
EXPERIENCE:
• Minimum of one (1) year of experience in a hospital business office setting, or at least one year of experience in the medical billing/collection field.
LICENSURE/CERTIFICATION:
• None required
-
Patient Care Assistant II
3 weeks ago
Houston, Texas, United States Harris Health System Full timePosition: Patient Care Assistant II - Ben Taub - 5A MedSurg - FT/DayJob SummaryThe Patient Care Assistant II (PCA II) is accountable for supporting patient care activities, under the supervision of a registered nurse, on inpatient nursing units. The PCA II works closely with the charge nurse and staff nurses to assure patient care needs are met. The PCA II...
-
Patient Access Representative II
1 day ago
Houston, Texas, United States Memorial Hermann Health System Full timeJob SummaryAs a Patient Access Representative II at Memorial Hermann Health System, you will play a vital role in ensuring the smooth operation of our healthcare facilities. Your primary responsibility will be to schedule patient appointments, verify insurance eligibility, and collect patient liability in a timely and accurate manner.Key...
-
Staff Accountant II
3 months ago
Houston, United States Sterling Group Full timeJob DescriptionJob DescriptionSummaryThe Sterling Group is seeking a detail-oriented and self-motivated Staff Accountant II to join our team. The Staff Accountant II will report to the Assistant Controller, Management Company Accounting and will assist with the accounting and financial reporting functions for The Sterling Group. We are a small group of...
-
Financial Accountant II
2 weeks ago
Houston, Texas, United States Apache Full timePosition OverviewThe Accountant II will play a crucial role within Apache's Owner Relations Accounting team, directly reporting to the Accounting Manager.Key ResponsibilitiesThis position will focus on the following essential duties:Coordinate the monthly Check Write processes for both owner-level and company-level operations.Collaborate effectively with the...
-
Accounting Associate II
4 weeks ago
Houston, United States RemX Full time $19 - $20Job DescriptionJob DescriptionRemX is seeking a Accounting Associate II for a company in the Houston, TX area!**90% Remote - Position could be temp to hire**Essential Duties/Responsibilities:Scanning Invoices AP CodingProcessing Vendor Invoices in SAPResearching and resolving problematic invoices in a centralized, high-volume fast paced Accounts...
-
Accountant II
4 weeks ago
Houston, United States Apache Full timeThe Accountant II will be a member of Apaches Owner Relations Accounting team, reporting to the Accounting Manager. This role will be primarily responsible for the following: Coordinate Check Write monthly for the owner level and company level runs. Owner, Accountant, Relations, Accounting Manager, Operations, Accounting
-
Accounting Specialist II
2 weeks ago
Houston, Texas, United States Stewart Title Full timeCompany Overview:Join a vibrant organization that values career advancement and diversity in the workplace.Job Title: General Ledger Accountant IIJob Summary:Accountable for overseeing and ensuring adherence to financial policies and regulations, evaluating financial data, and providing insights on the organization's fiscal matters.Key...
-
Accountant II
3 months ago
Houston, United States Houston Journal of Health Law & Policy Full timeDescription Accountant II Performs professional accounting work responsible for a major business area, such as student billing system, Federal Title IV programs, and so forth. Maintains the accounting of a major business area, including table maintenance, submission, reconciliation of data feed, account reviews and corrections. Ensures that all...
-
Revenue Accountant II
2 weeks ago
Houston, Texas, United States EOG Resources Full timePosition OverviewThe Revenue Accountant II will be responsible for the accurate recording of oil and gas revenues related to properties in Texas. This role involves processing allocations from natural gas plants and collaborating with the regulatory team to ensure the timely remittance and reporting of severance taxes associated with oil and gas sales, as...
-
Revenue Accountant II
2 weeks ago
Houston, Texas, United States Alpha Numeric Full timePosition OverviewAs a Revenue Accountant II, you will play a crucial role in managing and recording oil and gas revenues associated with our operations. Your expertise will be essential in processing natural gas plant allocations and collaborating with the regulatory team to ensure accurate remittance and reporting of severance taxes related to oil and gas...
-
Revenue Accountant II
2 weeks ago
Houston, Texas, United States EOG Resources Full timePosition OverviewThe Revenue Accountant II will be responsible for managing and recording oil and gas revenue related to properties in Texas. This role involves processing allocations from natural gas plants and collaborating with the regulatory team to ensure accurate remittance and reporting of severance taxes associated with oil and gas sales, as well as...
-
Accounting Associate II
4 weeks ago
Houston, United States RemX Full time $19 - $20Job DescriptionJob DescriptionRemX is seeking a Accounting Associate II for a company in the Houston, TX area!**90% Remote - Position could be temp to hire**Essential Duties/Responsibilities:Scanning Invoices AP CodingProcessing Vendor Invoices in SAPResearching and resolving problematic invoices in a centralized, high-volume fast paced Accounts...
-
Accountant II
4 weeks ago
Houston, Texas, United States Apache Corporation Full timeSpecific ResponsibilitiesThe Accountant II will be a member of Apache's Owner Relations Accounting team, reporting to the Accounting Manager.This role will be primarily responsible for the following:Coordinate Check Write monthly for the owner level and company level runs. Includes managing the process in PRA, ensuring files are sent successfully to the...
-
Patient Care Coordinator II
1 day ago
Houston, Texas, United States Catholic Health Initiatives Full timeAbout the RoleCatholic Health Initiatives is seeking a skilled Patient Care Assistant II to join our team at Baylor St Luke's Medical Center. As a Patient Care Assistant, you will play a vital role in providing high-quality patient care and supporting our nursing staff.Key ResponsibilitiesProvide direct patient care as delegated by RN staff, ensuring the...
-
Accountant II
1 week ago
Houston, Texas, United States EOG Resources Full timeJob SummaryWe are seeking a highly skilled Financial Accountant to join our team at EOG Resources. As an Accountant II - Financial Reporting, you will be responsible for managing the financial reporting process, ensuring accuracy and compliance with regulatory requirements.Key ResponsibilitiesFinancial Reporting: Prepare and review financial reports,...
-
Financial Accountant II
2 weeks ago
Houston, Texas, United States Plains All American Pipeline Full timeCompany Overview:Plains All American is a premier provider in the transportation and midstream sector, focusing on innovative solutions for the transportation, storage, processing, and marketing of crude oil and natural gas liquids (NGLs). With a vast network of pipeline transportation, terminalling, storage, and gathering assets strategically located in...
-
Dietitian II
5 days ago
Houston, Texas, United States Sodexo Full timeAbout the RoleSodexo is seeking a highly skilled Registered Dietitian Nutritionist II to join our dynamic team at HCA Houston Healthcare. As a key member of our clinical nutrition team, you will provide expert nutrition care and support to patients, families, and healthcare staff.Key ResponsibilitiesProvide comprehensive nutrition assessments and develop...
-
Traveling MRI Imaging Specialist
1 week ago
Houston, Texas, United States Infojini Healthcare II Full timePosition Overview:Infojini Healthcare II is currently in search of a traveling MRI Imaging Specialist to fill a vital role within our healthcare team.Key Responsibilities:- Perform MRI scans with precision and care.- Ensure patient safety and comfort during procedures.- Collaborate with healthcare professionals to deliver high-quality imaging services.-...
-
Patient Account Specialist
1 month ago
Houston, United States Amtex Systems Inc Full timeJob DescriptionJob DescriptionPatient Account Specialist Senior - Onsite- Temp to Perm No longer require HS/GED verification CHRISTUS Corp Houston Office and TLRA Revenue Cycle 2707 North Loop West, , Houston, TX, 77008 Monday-Friday 8 hoursJOB SUMMARY Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical...
-
Patient Accounts Coordinator
2 days ago
Houston, Texas, United States Nexus Health Systems Ltd Full timeJob Title: Patient Accounts CoordinatorJob Summary:Nexus Health Systems Ltd is seeking a highly organized and detail-oriented Patient Accounts Coordinator to join our Central Business Office team. As a key member of our team, you will be responsible for handling incoming telephone calls, correspondence, and patient account documentation for accounts assigned...
