UTMB Health • Galveston, TX 77551
Job #2586177551
Patient Account Specialist - Revenue Cycle HB Billing & Denials (19.99hr/wk)
Galveston, Texas, United States
Hot
Clerical & Administrative Support
UTMB Health
Requisition # 2304300
Required Education / Experience:
High School Diploma or equivalent. Two years of financial experience or one year of patient accounts experience.
Job Summary:
The Patient Account Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues affecting these claims. Takes necessary actions to insure timely and appropriate reimbursement and account resolution.
Essential Job Functions:
Demonstratesalevelofcompetenceandunderstandingofallstateandfederallaws,rulesandregulationsregardingpayerbillingguidelines
Demonstratesabasicunderstanding ofCPT, IC-9,ICD-10,HCPCS,modifiercodingaswellasPOSrequirements
Billing payersand/orclientsforHospitaland/or ProfessionalPatientAccounts
ResolvesPayerrejectionsfrombillingsystemdailytobill submithospitaland/orphysiciansclaims
Performsonlinecorrectionstoeditedclaimsaccordingtoprocedures
Performsdetailed follow-upactivitiesonassignedaccountsaccordingtoprocedures
Respondstodailycorrespondenceaccordingtoprocedures
Identifiesdenialsandunderpaymentsforappeal
Reviews,researchesandprocessesdeniedclaims
Appealclaimsasappropriateaccordingtopoliciesandprocedures
Updatesaccountinformationanddocuments as appropriatewithinEpicResolute
Processes account adjustmentsaccordingtopolicies/procedures
Issuespayerand/orpatientrefunds accordingtopolicies/procedures
Validatesaccuracyofpaymentsand/oradjustmentsonaccounts
Resolves outstandingaccounts atrequiredaccuracyand productivity requirements
Maintainscomprehensiveknowledgeoftheworkunitassigned
Assists inthedevelopmentofdepartmentpoliciesandprocedures
Adherestoestablished policiesandprocedures
Adherestointernalcontrolsandreporting structure
Maintainsopenandprofessionalcommunicationwithcustomers,colleaguesandvendors
Performswellin ateamenvironment
Marginal / Periodic Job Functions
Successfullycompletescompetencybasedtrainingandtesting
Prioritizesandcompletesallworkinanaccurate,effectiveandefficientmanner
Participatesinteammeetings/activitiesandsupportsthephilosophyandgoalsoftheteamanddepartment
Assistsinthetrainingandmentoring ofnewemployees
Readsallannouncementsandrelevantcommunicationsrelatingtojobduties
Performsrelated dutiesasrequired.
Salary Range
Actual salary commensurate with experience.
Work Schedule
Monday through Friday, 8am to 5pm and as needed on occasion.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.
Compensation
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