Title:  Coordinator, Patient Accounts Receivable

Summary

Baylor College of Medicine is seeking a Coordinator that understands AR follow up. The ideal candidate should have knowledge of how to appeal a denied claim and check status of a claim by payer website or placing a telephone call to the payer.

Job Duties

•  Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
•  Works on complex and/or specialized cases. 
•  Provides assistance with  inquiries from outside parties regarding account status and possible resolutions.
• Utilizes specialized knowledge of regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer.
• Resolves all denials, and requests for information, including appeals.
• Identifies trends in payer non-compliance and informs management accordingly.
• Follows up on outstanding accounts and makes proper notations in EPIC system and logs.
• Provides guidance and technical work direction to less experienced  staff.

Minimum Qualifications

• High School diploma or GED.
• Two years of relevant experience.

Preferred Qualifications

• Prior experience working in a medical setting. 
• Prior experience working with medical insurance companies for claim status. 
• Knowledge on submitting an appeal for reimbursement.