Patient Account Specialist - RCO HB Follow Up

Patient Account Specialist - RCO HB Follow Up**Galveston, Texas, United States****Hot**Business, Managerial & FinanceUTMB HealthRequisition # 2601417**EDUCATION & EXPERIENCE:****Minimum Qualifications:**+ Two years of financial experience or one year of patient accounts experience.**JOB SUMMARY:**The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues affecting these claims. Takes necessary actions to ensure timely and appropriate reimbursement and account resolution.**ESSENTIAL JOB FUNCTIONS:**+ Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines+ Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements+ Billing payers and/or clients for hospital and/or Professional Patient Accounts+ Resolves Payer rejections from billing system daily to bill submit hospital and/or physicians claims+ Performs online corrections to edited claims according to procedures+ Performs detailed follow-up activities on assigned accounts according to procedures+ Responds to daily correspondence according to procedures+ Identifies denials and underpayments for appeal+ Reviews, researches, and processes denied claims+ Appeal claims as appropriate according to policies and procedures+ Updates account information and documents as appropriate within Epic Resolute+ Processes account adjustments according to policies/procedures+ Issues payer and/or patient refunds according to policies/procedures+ Validates accuracy of payments and/or adjustments on accounts+ Resolves outstanding accounts at required accuracy and productivity requirements+ Maintains comprehensive knowledge of the work unit assigned+ Assists in the development of department policies and procedures+ Adheres to established policies and procedures+ Adheres to internal controls and reporting structure+ Maintains open and professional communication with customers, colleagues, and vendors+ Performs well in a team environment**Marginal or Periodic Functions:**+ Successfully completes competency-based training and testing+ Prioritizes and completes all work in an accurate, effective, and efficient manner+ Participates in team meetings/activities and supports the philosophy and goals of the team and department+ Assists in the training and mentoring of new employees+ Reads all announcements and relevant communications relating to job duties+ Performs related duties as required.**WORKING ENVIRONMENT/EQUIPMENT:**+ Standard hospital, clinical, laboratory and/or office environments.+ Standard office equipment.**SALARY RANGE:**Actual salary commensurate with experience.**WORK SCHEDULE:**On-site, Monday through Friday, 8 AM - 5 PM.**Equal Employment Opportunity**UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.Compensation