Title:  Patient Accounts Representative II- (Appeals & Denials)

Division:  Patient Business Services
Schedule:  Monday - Friday, 8:00am -5:00pm
Work Location:  Houston, TX
Salary Range:  $31,581 - $46,000
FLSA Status:  Nonexempt
Requisition ID:  12187

Summary

Baylor College of Medicine is seeking  a Patient Accounts Representative  II. The ideal candidate understands AR follow up, and Anesthesia. The 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 Purpose

Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients.

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.
  • Two years of relevant experience.

Preferred Qualifications

  • Anesthesia experience.
  • Knowledge of  denials and appeals. 
  • Insurance follow up (phones and websites).

 

 

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.

 12187