Job Information
UTHealth Sr. Patient Account Representative - Rev Cycle - 240002YY in Houston, Texas
Position Summary:
Works to achieve team and departmental goals by performing a variety of duties and procedures to follow-up and resolve outstanding accounts receivable balances on complex accounts by securing payment and/or applying the appropriate adjustments. In addition, responsible for analyzing accounts to identify trends as well as errors including incorrect adjustments, issuing corrected entries when necessary.
We are searching for a Sr. Patient Account Representative - Insurance Eligibility and Verifications to join our Revenue Cycle team. Each insurance eligibility and verifications representative is responsible for the day-to-day operations of their assigned providers, including verifying insurance policy benefit information, obtaining Authorization/ Precertification before the patient's visit or scheduled admission, or immediately following admission. Assisted in identifying problems, ensuring that insurance is accurate on the patient account, and ensuring appropriate referrals have been completely and accurately obtained. While maintaining volume productivity, adhering to UTHN-assigned metrics, and upholding the core values of our team. Our group has a passion for creating positive patient interactions, and we are seeking a team member who is dedicated to caring for the well-being of others. This opportunity will allow continued growth and development within a multispecialty, comprehensive neurosciences practice.
- Department: Revenue Cycle
- Status: Full-time
- Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) meetings, additional training, etc.).
- Must live in Texas (TX)
Position Key Accountabilities:
Reviews incoming correspondence and takes appropriate action. Responds promptly to inquiries.
Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly.
Documents communications accurately and completely.
Obtains financial information from patients; analyzes information to determine appropriateness of action.
Mentors and serves as a resource for less experienced staff.
Prepares written responses for administrative complaints and problem accounts.
Contacts third party payers to effect payment on patient accounts.
Assists in the development of policies and procedures.
May perform other duties as assigned.
Certification/Skills:
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 graduation or equivalent required. Graduate from a vocational business school with a minor in a job related field preferred.
Minimum Experience:
Three to five 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.
Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
