Patient Account Representative II

1 month ago

Houston, United States The University of Texas Health Science Center at Houston (UTHealth) Full time

Position Summary:

The patient account representative is responsible for the timely collection of third party and private pay receivables within regulatory guidelines.

Position Key Accountabilities:

1. Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims.
2. Reviews incoming correspondence and takes appropriate action. Responds promptly to inquiries.
3. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments.
4. Pursues appeals and takes the necessary steps to bring accounts to resolution.
5. Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly.
6. Communication documentation demonstrates clear action taken on each account as well as what further action is needed to capture payment. Work output is documented clearly, so that various departments involved in resolution can review the account.
7. Ability to meet departmental standard for quality and productivity.
8. Other duties as assigned.

Certification/Skills:

Basic knowledge of business office, patient billing, or collection/ reimbursement procedures in a healthcare setting; proficient in MS Office with emphasis in Excel, 10-key and math.

Minimum Education:

High School Diploma or equivalent

Minimum Experience:

Three years hospital/ medical collections experience with understanding of third party reimbursement procedures, as well as state and federal regulations governing healthcare.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.

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