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Title:  Patient Accounts Representative II/ 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:  $30,962-$39,477
FLSA Status:  Nonexempt
Requisition ID:  4131
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.
  • May provide guidance and technical work direction to less experienced Patient Account Representatives.
     
Minimum Qualifications
  • High school diploma or equivalent.
  • Three years of directly related experience.
Preferred Qualifications
  • Knowledge of Epic system. 
  • Knowledge of Anesthesia follow-up.
Other
  • Knowledge of Medical insurance AR follow-up and collection practices.

 

 

 

 

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

 4131

CA