Patient Account Representative II - Rev Cycle

UTHealth Houston • Houston, TX

8d • Hybrid

About The Position

The Patient Account Representative II provides customer service for billing inquiries in Epic CRM, ensuring timely & accurate resolution. The role partners with the offsite call center to manage escalations and complex issues through Epic workqueues, and supports clinics with as-needed outbound calls and escalation handling. This is a Remote position, and you must reside in Texas. There is a requirement for 2-4 weeks of onsite training at 1851 Crosspoint Ave, Houston, TX 77054. Lodging or mileage reimbursement is not provided for training. This position is a security-sensitive position.

Requirements

• Basic knowledge of business office, patient billing, or collection/ reimbursement procedures in a healthcare setting
• Proficient in MS Office with emphasis in Excel
• Proficient in 10-key and math
• High School Diploma or equivalent
• Three years hospital/ medical collections experience
• Understanding of third party reimbursement procedures
• Understanding of state and federal regulations governing healthcare
• Must live in Texas (TX)
• Must be able to attend any required onsite meetings

Responsibilities

• Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims.
• Reviews incoming correspondence and takes appropriate action. Responds promptly to inquiries.
• Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments.
• Pursues appeals and takes the necessary steps to bring accounts to resolution.
• Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly.
• Communication documentation demonstrates clear action taken on each account as well as what further action is needed to capture payment. Work output is documented clearly, so that various departments involved in resolution can review the account.
• Ability to meet departmental standard for quality and productivity.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED