Patient Account Specialist - RCO PB Follow Up (Hybrid Remote)
university of texas medical branchTexas City, TX
Patient Account Specialist - RCO PB Follow Up (Hybrid Remote)
university of texas medical branchTexas City, TX
9 days ago
Occupations
Billing and Posting ClerksBookkeeping, Accounting, and Auditing ClerksMedical Records SpecialistsIndustries
General Medical and Surgical HospitalsSpecialty HospitalsAll Other Miscellaneous Ambulatory Health Care ServicesAbout the role
Overview:
In this role you will bill third-party payers through a claims processing vendor and pursue appeals for denied professional or hospital claims. You identify billing issues affecting hospital and physicians' claims, take corrective actions to ensure timely filing, and perform follow-up to secure appropriate reimbursement. You will update account information in Epic Resolute and support accurate, compliant revenue cycle operations. This position offers hybrid work and the chance to influence claim outcomes in a busy hospital setting.
Responsibilities:
- Bill payers for hospital and professional patient accounts
- Resolve payer rejections daily to enable claim submission
- Conduct online corrections to edited claims per procedures
- Perform detailed follow-ups on assigned accounts
- Identify denials and underpayments for appeals
- Review, research, and process denied claims
- Appeal claims per policies and procedures
- Update account information in Epic Resolute
- Process account adjustments and issue refunds per policies
- Verify payments and adjustments for accuracy
- Maintain knowledge of work unit operations and policy adherence
- Assist in developing department policies and procedures
- Maintain professional communication with customers, colleagues, and vendors
- Contribute to team meetings and training of new staff
Key requirements:
- Two years of financial experience or one year of patient accounts experience
- Experience with end-to-end Revenue Cycle operations (billing, denials, collections)
- Knowledge of insurance verification, claims processing, and reimbursement guidelines
- Experience with Commercial, Medicare, and Medicaid payers
- Experience with Epic or a comparable patient accounting/EHR system
- Strong communication and professional interaction
- Team-oriented and collaborative mindset
- Detail-oriented and process-driven
- Epic Resolute knowledgeCPT/ICD-9/HCPCS coding understanding
- Payer reimbursements and denials management
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JOB OVERVIEW
Experience level
Senior
Location
Texas City, TX
Occupation
Billing and Posting Clerks
Industry
General Medical and Surgical Hospitals
Posted
9 days ago
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