Title: Patient Accounts Representative I
Summary
We are seeking a Patient Accounts Representative to join our claims team. The candidate will expedite and maximize payment of insurance medical claims by attaching medical records to all denied/rejected claims by accessing payers websites, faxing, and mailing claims with medical records. This position will be located at our Greenway Plaza location.
Job Duties
- Works and processes medical records sent to the payor for reconsideration.
- Accesses payor websites to upload medical records into the system.
- Analyzes trends, issues, and proposes appropriate action & possible solutions.
- Identifies areas of concern regarding the various areas of the claims process.
- Analyzes trends and issues and proposes appropriate action to resolve.
- Masters each task to ensure complete understanding.
- Maintains each work queue to review each invoice date of creation, if over 10 days out, needs to understand why invoice is still there; if there is an issue, get information to bring to resolution.
- Notifies supervisor of trends and issues/problems to determine if any update or changes are needed in the system.
Minimum Qualifications
- High school diploma or GED.
- No experience required.
Preferred Qualifications
- Patient Account or Coding certification.
Baylor College of Medicine requires employees to be fully vaccinated -subject to approved exemptions-against vaccine-preventable diseases including, but not limited to, COVID-19 and influenza.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
12002
CA