Patient Account Specialist - RCO PB Follow-Up (Hybrid; Up to 19.99 hours/week)

Patient Account Specialist - RCO PB Follow-Up (Hybrid; Up to 19.99 hours/week)

Galveston, Texas, United States

New

Business, Managerial & Finance

UTMB Health

Requisition # 2603367

EDUCATION & EXPERIENCE:

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 ensure 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

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