Patient Services Associate I - Denials

Texas A&M • Bryan, TX

3d • Onsite

About The Position

The Patient Services Associate I reviews, analyzes, and resolves denied or underpaid insurance claims, ensuring timely reimbursement and identifying trends to reduce future denials.

Requirements

• High school diploma or equivalent combination of education and experience.
• Two years of related experience in clinical billing, claims processing, or accounts receivable.
• Knowledge of HIPAA guidelines and working knowledge of electronic medical record systems (such as Epic)
• Knowledge of word processing and Microsoft Excel spreadsheet applications
• Effective verbal and written communication skills
• Strong interpersonal, problem solving, and organizational skills
• Strong attention to detail and ability to utilize sound judgment
• Ability to work independently and cooperatively with others

Nice To Haves

• Four years of related experience in denial management, medical billing, coding, or revenue cycle operations.
• Experience with denial resolution processes.
• Experience with Epic EMR
• Extensive understanding of medical billing, insurance guidelines, and Texas Medicaid.
• Familiarity with electronic medical record systems, specifically Epic.

Responsibilities

• Reviews and analyzes denied or underpaid claims to determine root cause and appropriate resolution.
• Prepares and submits timely appeals, including gathering supporting documentation and medical records.
• Follows up with insurance companies on denied claims to ensure timely reconsideration and reimbursement.
• Corrects and resubmits claims as necessary in accordance with payer requirements.
• Documents all denial activities, actions taken, and outcomes in the billing system.
• Monitors denial trends and identifies recurring issues impacting reimbursement.
• Maintains denial logs and prepares reports for management review.
• Communicates trends and recommends process improvements to reduce future denials.
• Ensures compliance with payer guidelines, federal and state regulations, and organizational policies.

Benefits

• Medical, prescription drug, dental, vision, life and AD&D, flexible spending accounts, and long-term disability insurance with Texas A&M contributing to employee health and basic life premiums
• 12-15 days of annual paid holidays
• Up to eight hours of paid sick leave and at least eight hours of paid vacation each month
• Automatic enrollment in the Teacher Retirement System of Texas
• Free exercise programs and release time
• All employees have access to free LinkedIn Learning training, webinars, and limited financial support to attend conferences, workshops, and more
• Educational release time and tuition assistance for completing a degree while a Texas A&M employee

What This Job Offers

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