UTHealth Houston
Patient Account Representative II (Insurance Collections)
UTHealth Houston, Houston, Texas, United States, 77246
Patient Account Representative II (Insurance Collections)
Join to apply for the
Patient Account Representative II (Insurance Collections)
role at
UTHealth Houston
Benefits
100% paid medical premiums for full‑time employees
Generous time off: around 37‑38 days per year
The longer you stay, the more vacation you’ll accrue
Longevity Pay: monthly payments after two years of service
Build a strong retirement/pension plan
Position Summary The patient account representative is responsible for the timely collection of third‑party and private‑pay receivables within regulatory guidelines. The position focuses on the back‑end of the revenue cycle, encompassing all patient accounting services. Responsibilities include tasks performed from discharge to final account resolution, such as billing, collections, insurance follow‑up, cash posting, bad debt/charity write‑offs, and denials management.
Key Accountabilities
Manage multiple work queues for follow‑up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
Review incoming correspondence and take appropriate action, responding promptly to inquiries.
Identify denial trends and notify supervisor and/or manager to prevent future denials and delays.
Pursue appeals and take necessary steps to bring accounts to resolution.
Analyze accounts for errors, adjustments, and credits, issuing corrected entries when necessary and updating account information accordingly.
Document communication clearly, indicating action taken and further steps needed to capture payment. Work output is documented so that various departments can review the account.
Meet departmental standards for quality and productivity.
Other duties as assigned.
Location and Travel Remote (2–4 weeks onsite training at 1851 Crosspoint Ave, 77054). Must live in Texas and attend required onsite meetings. No lodging or mileage reimbursement for training.
Certification and 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 and 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
51.215 and Texas Government Code
411.094: To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code.
117.001(2): The ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether issues such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R.
791.4: Residency Requirement—Employees must permanently reside and work in the State of Texas.
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Patient Account Representative II (Insurance Collections)
role at
UTHealth Houston
Benefits
100% paid medical premiums for full‑time employees
Generous time off: around 37‑38 days per year
The longer you stay, the more vacation you’ll accrue
Longevity Pay: monthly payments after two years of service
Build a strong retirement/pension plan
Position Summary The patient account representative is responsible for the timely collection of third‑party and private‑pay receivables within regulatory guidelines. The position focuses on the back‑end of the revenue cycle, encompassing all patient accounting services. Responsibilities include tasks performed from discharge to final account resolution, such as billing, collections, insurance follow‑up, cash posting, bad debt/charity write‑offs, and denials management.
Key Accountabilities
Manage multiple work queues for follow‑up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
Review incoming correspondence and take appropriate action, responding promptly to inquiries.
Identify denial trends and notify supervisor and/or manager to prevent future denials and delays.
Pursue appeals and take necessary steps to bring accounts to resolution.
Analyze accounts for errors, adjustments, and credits, issuing corrected entries when necessary and updating account information accordingly.
Document communication clearly, indicating action taken and further steps needed to capture payment. Work output is documented so that various departments can review the account.
Meet departmental standards for quality and productivity.
Other duties as assigned.
Location and Travel Remote (2–4 weeks onsite training at 1851 Crosspoint Ave, 77054). Must live in Texas and attend required onsite meetings. No lodging or mileage reimbursement for training.
Certification and 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 and 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
51.215 and Texas Government Code
411.094: To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code.
117.001(2): The ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether issues such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R.
791.4: Residency Requirement—Employees must permanently reside and work in the State of Texas.
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