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Title:  Patient Accounts Representative I/ Appeals and Denials

Division:  Patient Business Services
Schedule:  Monday-Friday, 8:00 a.m.-5:00 p.m.
Work Location:  Greenway Plaza, Houston, TX
Salary Range:  $28,147- $34,000
FLSA Status:  Nonexempt
Requisition ID:  4765
Job Purpose

The position requires an experienced collector that understands AR follow up.  The collector 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.The collector will help to expedite and maximize the payment of insurance medical claims by contacting third party payers and patients.  The collector will call insurance companies or access the payer website for claim status, appeal status on denied claims and payment reimbursement.

Job Duties
  • Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
  • Assists with inquiries from outside parties regarding account status.
  • Reviews invoices to verify payments and contractual adjustments.
  • Resolves all denials and requests for information, including appeals.
  • Follows up on outstanding accounts and makes proper notations in Epic system.
Minimum Qualifications
  • High school diploma or GED.
  • One year of relevant experience.
Preferred Qualifications
  • Knowledge of Epic system.
  • Experience in submitting an appeal for reimbursement.

 

 

 

 

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

 4765