Senior Patient Account Representative - Revenue Cycle

UTHealth Houston • Houston, TX

11d • Hybrid

About The Position

The Sr. Patient Account Representative role focuses on back-end revenue cycle functions, encompassing the full spectrum of patient accounting services. It places a strong emphasis on insurance follow-up and denials resolution as core areas of specialization. Manages account resolution related to insurance follow-up and denials management. Oversees back-end revenue cycle functions from discharge through final account resolution. Coordinates with payers to resolve outstanding claims and ensure timely reimbursement. Specializes in identifying, tracking, and resolving claim denials to reduce delays and prevent revenue loss. This position requires the employee to permanently reside and work in the State of Texas. The role is remote but requires 2-4 weeks of onsite training at 1851 Crosspoint Ave, 77054. The company offers a comprehensive total rewards package including benefits, insurance, 100% paid medical premiums for full-time employees, generous time off (around 37-38 days per year), longevity pay after two years of service, and a retirement/pension plan. Additionally, they provide work/life services such as free financial and legal counseling, free mental health counseling, gym membership discounts, access to wellness programs, employee discounts, and resources for child and elder care.

Requirements

• High school graduation or equivalent required.
• Three to five years hospital/ medical collections experience with understanding of third party reimbursement procedures, as well as state and federal regulations governing healthcare.
• 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.
• Must live in Texas (TX).
• Must be able to attend any required onsite meetings.

Nice To Haves

• Graduate from a vocational business school with a minor in a job related field preferred.

Responsibilities

• Manages account resolution related to insurance follow-up and denials management
• Oversees back-end revenue cycle functions from discharge through final account resolution
• Coordinates with payers to resolve outstanding claims and ensure timely reimbursement
• Specializes in identifying, tracking, and resolving claim denials to reduce delays and prevent revenue loss
• Works to achieve team and departmental goals by performing a variety of duties and procedures to follow-up and resolve outstanding accounts receivable balances on complex accounts by securing payment and/or applying the appropriate adjustments.
• Analyzes accounts to identify trends as well as errors including incorrect adjustments, issuing corrected entries when necessary.
• Reviews incoming correspondence and takes appropriate action.
• Responds promptly to inquiries.
• Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary.
• Updates account information accordingly.
• Documents communications accurately and completely.
• Obtains financial information from patients; analyzes information to determine appropriateness of action.
• Mentors and serves as a resource for less experienced staff.
• Prepares written responses for administrative complaints and problem accounts.
• Contacts third party payers to effect payment on patient accounts.
• Assists in the development of policies and procedures.
• May perform 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: Senior
• Education Level: High school or GED