The University of Texas Medical Branch
(19.99 hours a week) Patient Account Specialist - RCO PB Follow Up
The University of Texas Medical Branch, Galveston, Texas, United States, 77554
Overview
(19.99 hours a week) Patient Account Specialist - RCO PB Follow Up
Join to apply for the (19.99 hours a week) Patient Account Specialist - RCO PB Follow Up role at
The University of Texas Medical Branch
1 day ago Be among the first 25 applicants
Join to apply for the (19.99 hours a week) Patient Account Specialist - RCO PB Follow Up role at
The University of Texas Medical Branch
Minimum Qualifications 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
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS 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 according to procedures
Performs detailed follow-up activities on assigned accounts according to procedures
Responds to daily correspondence according to procedures
Identifies denials and underpayments for appeal
Review, research, and processes denied claims
Appeal claims as appropriate according to policies and procedures
Updates account information and documents as appropriate within Epic Resolute
Processes account adjustments according to policies/procedures
Issues payer and/or patient refunds according to policies/procedures
Validates accuracy of payments and/or adjustments on accounts
Resolves outstanding accounts at required accuracy and productivity requirements
Maintains comprehensive knowledge of the work unit assigned
Assists in the development of 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 Job Duties
Successfully completes competency-based training and testing
Prioritizes and completes all work in an accurate, effective, and efficient manner
Participates in team meetings/activities and supports the philosophy and goals of the team and department
Assists in the training and mentoring of new employees
Reads all announcements and relevant communications relating to job duties
Performs related duties as required
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.
Location and Job Details Primary Location : United States-Texas-Galveston
Work Locations : 1022 - Bank of America Bldg
Job : Business, Managerial & Finance
Organization : UTMB Health
Regular
Shift : Standard
Employee Status : Non-Manager
Job Level : Day Shift
Job Posting : Oct 31, 2025, 12:27:49 PM
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
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Join to apply for the (19.99 hours a week) Patient Account Specialist - RCO PB Follow Up role at
The University of Texas Medical Branch
1 day ago Be among the first 25 applicants
Join to apply for the (19.99 hours a week) Patient Account Specialist - RCO PB Follow Up role at
The University of Texas Medical Branch
Minimum Qualifications 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
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS 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 according to procedures
Performs detailed follow-up activities on assigned accounts according to procedures
Responds to daily correspondence according to procedures
Identifies denials and underpayments for appeal
Review, research, and processes denied claims
Appeal claims as appropriate according to policies and procedures
Updates account information and documents as appropriate within Epic Resolute
Processes account adjustments according to policies/procedures
Issues payer and/or patient refunds according to policies/procedures
Validates accuracy of payments and/or adjustments on accounts
Resolves outstanding accounts at required accuracy and productivity requirements
Maintains comprehensive knowledge of the work unit assigned
Assists in the development of 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 Job Duties
Successfully completes competency-based training and testing
Prioritizes and completes all work in an accurate, effective, and efficient manner
Participates in team meetings/activities and supports the philosophy and goals of the team and department
Assists in the training and mentoring of new employees
Reads all announcements and relevant communications relating to job duties
Performs related duties as required
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.
Location and Job Details Primary Location : United States-Texas-Galveston
Work Locations : 1022 - Bank of America Bldg
Job : Business, Managerial & Finance
Organization : UTMB Health
Regular
Shift : Standard
Employee Status : Non-Manager
Job Level : Day Shift
Job Posting : Oct 31, 2025, 12:27:49 PM
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at The University of Texas Medical Branch by 2x
Sign in to set job alerts for “(19.99 hours a week) Patient Account Specialist - RCO PB Follow Up” roles. Patient Account Specialist - RCO HB Follow Up We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr