Patient Resolution Specialist

2 weeks ago


San Antonio, Texas, United States University Health Full time
Job Summary

The Patient Resolution Coordinator will play a crucial role in supporting the Executive Director and Assistant Directors in providing operational support to various functional teams within University Health. This position will be responsible for conducting training for new hires, developing and maintaining standard operating procedures, and ensuring the accuracy of billing and collections processes.

Responsibilities
  • Conduct operational role-based training for new hires within University Health
  • Develop, review, and maintain standard operating procedures used within the organization
  • Assist the Executive Director and Assistant Directors in providing support to various functional teams
  • Ensure the accuracy of billing and collections processes
  • Develop professional correspondence to insurance companies and patients
Requirements
  • Minimum of 3-5 years of experience in a hospital or physician billing office and/or patient access
  • High school diploma or equivalent required
  • Knowledge of medical terminology and billing/collection practices
  • Ability to read and interpret insurance explanation of benefits (EOBs)
  • Knowledge of payer edits, rejections, rules, and how to respond appropriately
  • Accuracy in identifying the cause of rejections/denials and selecting the most appropriate method for resolution
  • Demonstrated proficiency with timely and successful appeals to insurance companies
What We Offer

University Health offers a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive compensation package.



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