The University of Texas Medical Branch
Sr. Patient Account Specialist - RCO HB Follow Up
The University of Texas Medical Branch, Galveston, Texas, United States, 77554
Sr. Patient Account Specialist – RCO HB Follow Up
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Sr. Patient Account Specialist – RCO HB Follow Up
role at
The University of Texas Medical Branch .
Minimum Qualifications
Associate’s degree or equivalent.
Minimum of three years patient accounts experience.
Minimum of two years Epic Revenue Cycle experience.
Job Summary The Sr. 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 ensure timely and appropriate reimbursement and account resolution.
Essential Job Functions
Demonstrates expert competence and understanding of state and federal laws, rules, and regulations regarding payer billing guidelines.
Basic understanding of CPT, ICD‑9, HCPCS, modifier coding, and POS requirements.
Meets or exceeds QA and productivity requirements.
Billing payers and/or clients for hospital and/or professional patient accounts.
Resolves payer rejections from billing system daily to bill submit hospital and/or physicians claims.
Performs online corrections to edited claims per procedures.
Performs detailed follow‑up activities on assigned accounts per procedures.
Responds to daily correspondence per procedures.
Identifies denials and under‑payments for appeal.
Reviews, researches, and processes denied claims.
Appeals claims as appropriate per policies and procedures.
Updates account information and documents per Epic Resolute.
Processes account adjustments per policies/procedures.
Issues payer and/or patient refunds per policies/procedures.
Validates accuracy of payments and/or adjustments on accounts.
Resolves outstanding accounts meeting accuracy and productivity requirements.
Assists in training and mentoring new employees.
Performs quality assurance reviews.
Assists in coordinating reporting and feedback to stakeholders.
Maintains comprehensive knowledge of the work unit assigned.
Assists in developing department policies and procedures.
Adheres to established policies and procedures.
Adheres to internal controls and reporting structure.
Maintains open and professional communication with customers, colleagues, and vendors.
Performs well in a team environment.
Marginal or Periodic Functions
Successfully completes competency‑based training and testing.
Prioritizes and completes all work accurately, effectively, and efficiently.
Participates in team meetings/activities and supports the philosophy and goals of the team and department.
Assists in training and mentoring new employees.
Reads all announcements and relevant communications regarding job duties.
Performs related duties as required.
Working Environment / Equipment
Standard hospital, clinical, laboratory and/or office environments.
Standard office equipment.
Salary Range : Actual salary commensurate with experience.
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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Primary Location
United States – Texas – Galveston
Work Locations
1076 – Bank of America Bldg
Job Posting
Dec 19, 2025, 6:15:49 PM
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Industries Hospitals and Health Care
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Sr. Patient Account Specialist – RCO HB Follow Up
role at
The University of Texas Medical Branch .
Minimum Qualifications
Associate’s degree or equivalent.
Minimum of three years patient accounts experience.
Minimum of two years Epic Revenue Cycle experience.
Job Summary The Sr. 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 ensure timely and appropriate reimbursement and account resolution.
Essential Job Functions
Demonstrates expert competence and understanding of state and federal laws, rules, and regulations regarding payer billing guidelines.
Basic understanding of CPT, ICD‑9, HCPCS, modifier coding, and POS requirements.
Meets or exceeds QA and productivity requirements.
Billing payers and/or clients for hospital and/or professional patient accounts.
Resolves payer rejections from billing system daily to bill submit hospital and/or physicians claims.
Performs online corrections to edited claims per procedures.
Performs detailed follow‑up activities on assigned accounts per procedures.
Responds to daily correspondence per procedures.
Identifies denials and under‑payments for appeal.
Reviews, researches, and processes denied claims.
Appeals claims as appropriate per policies and procedures.
Updates account information and documents per Epic Resolute.
Processes account adjustments per policies/procedures.
Issues payer and/or patient refunds per policies/procedures.
Validates accuracy of payments and/or adjustments on accounts.
Resolves outstanding accounts meeting accuracy and productivity requirements.
Assists in training and mentoring new employees.
Performs quality assurance reviews.
Assists in coordinating reporting and feedback to stakeholders.
Maintains comprehensive knowledge of the work unit assigned.
Assists in developing department policies and procedures.
Adheres to established policies and procedures.
Adheres to internal controls and reporting structure.
Maintains open and professional communication with customers, colleagues, and vendors.
Performs well in a team environment.
Marginal or Periodic Functions
Successfully completes competency‑based training and testing.
Prioritizes and completes all work accurately, effectively, and efficiently.
Participates in team meetings/activities and supports the philosophy and goals of the team and department.
Assists in training and mentoring new employees.
Reads all announcements and relevant communications regarding job duties.
Performs related duties as required.
Working Environment / Equipment
Standard hospital, clinical, laboratory and/or office environments.
Standard office equipment.
Salary Range : Actual salary commensurate with experience.
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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Primary Location
United States – Texas – Galveston
Work Locations
1076 – Bank of America Bldg
Job Posting
Dec 19, 2025, 6:15:49 PM
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Industries Hospitals and Health Care
#J-18808-Ljbffr