Patient Account Representative II - Rev Cycle

UTHealth Houston • Houston, TX

8d • Hybrid

About The Position

UTHealth Houston is seeking a Patient Account Representative II to support insurance eligibility and verification functions within our Revenue Cycle team. This role is responsible for verifying benefits, obtaining authorizations, ensuring accurate patient account information, and meeting productivity metrics. The ideal candidate is detail-oriented, supports positive patient interactions, and thrives in a collaborative healthcare environment with opportunities for growth.

Requirements

• 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.
• Three years hospital/ medical collections experience with understanding of third party reimbursement procedures, as well as state and federal regulations governing healthcare.
• Employees must permanently reside and work in the State of Texas.

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.

Benefits

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
• Longevity Pay (Monthly payments after two years of service)
• Retirement/pension plan
• Free financial and legal counseling
• Free mental health counseling services
• Gym membership discounts and access to wellness programs
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care

What This Job Offers

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