Patient Account Representative II - Rev Cycle

UTHealth Houston•Houston, TX

5d•Remote

About The Position

UTHealth Houston is hiring a Patient Account Representative II within Revenue Cycle. The position supports back-end revenue cycle functions across patient accounting services, with an emphasis on insurance follow-up and denial resolution. The representative is responsible for timely collection of third-party and private-pay receivables within regulatory guidelines, including coordinating with payers to resolve outstanding claims and pursue reimbursement. This is a remote position for employees who permanently reside and work in Texas. The role requires two to four weeks of onsite training at 1851 Crosspoint Ave, Houston, TX 77054, and attendance at any required onsite meetings. UTHealth Houston does not provide lodging or mileage reimbursement for training. The role requires a high school diploma or equivalent and three years of hospital or medical collections experience. Candidates should have basic knowledge of healthcare business office, patient billing, or collection and reimbursement procedures; understand third-party reimbursement procedures and relevant state and federal regulations; and be proficient in Microsoft Office, particularly Excel, 10-key, and math. The position is security-sensitive under applicable Texas law.

Requirements

High school diploma or equivalent.
Three years of hospital or medical collections experience.
Understanding of third-party reimbursement procedures and state and federal regulations governing healthcare.
Basic knowledge of business office, patient billing, or collection/reimbursement procedures in a healthcare setting.
Proficiency in Microsoft Office, with emphasis on Excel, as well as 10-key and math.
Must permanently reside and work in Texas.
Must be able to attend two to four weeks of onsite training and any required onsite meetings.
Ability to maintain the security or integrity of critical infrastructure, where applicable to the position.

Responsibilities

Manage multiple follow-up and denial work queues using payer websites and calls to help ensure prompt payment of medical claims.
Review incoming correspondence, take appropriate action, and respond promptly to inquiries.
Identify denial trends and notify the Supervisor and/or Manager to help prevent future denials and payment delays.
Pursue appeals and take the necessary steps to resolve accounts.
Analyze accounts for errors, adjustments, and credits; issue corrected entries when necessary and update account information.
Document actions taken and further steps needed to capture payment clearly so other departments involved in account resolution can review the account.
Meet departmental quality and productivity standards.
Perform other duties as assigned.
Oversee back-end revenue cycle functions from discharge through final account resolution.
Perform payer reconsiderations and appeals through payer portals.
Investigate and identify broader payer trends.
Apply a basic understanding of professional billing and coding practices.
Use knowledge of EPIC Professional Billing.

Benefits

100% paid medical premiums for full-time employees.
Generous time off, including holidays, a preventative leave day, vacation, and sick time; approximately 37–38 days per year.
Increasing vacation accrual with longer service.
Monthly Longevity Pay 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.
Employee discounts, including entertainment, car rentals, and cell phones.
Resources for child and elder care.