Title:  Patient Accounts Representative II/ Customer Service

Division:  Patient Business Services
Schedule:  Monday-Friday; 8:00am-5:00pm
Work Location:  Greenway Plaza, Houston, TX
Salary Range:  $30,962-$39,000
FLSA Status:  Nonexempt
Requisition ID:  1745
Job Purpose

 

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

Job Responsibilities
  • Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients.
  • Contacts insurance companies concerning unpaid accounts receivables.
  • Investigates and appeals unpaid or partially paid accounts.
  • Identifies patients accurately and assigns the patient a unique identification number.
  • Secures patient accounts in order to maximize reimbursements in a customer service oriented fashion.
  • Maximizes the efficiency and accuracy of the collection process by up-front collection and maintaining bill hold reports.
  • Provides documentation in the patient’s charts of general consent, information release, advanced care directives, and other requirements.
  • Follows up on outstanding accounts and makes proper notations in EPIC system.
  • Resolves any unusual denials, low payments, or requests for information, including appeals.
  • Reviews invoices to verify payments and contractual adjustments.
  • Drafts letters to the insurance company’s Medical Review Board to expedite payment.
  • Evaluates if payments were made according to contract.
  • Files insurance claims and requests statements.
  • May provide guidance and technical work direction to less experienced Patient Account Representatives.
Minimum Qualifications
Education:
  • Required: High School graduate or GED.
Experience:
  • Required: Three years of relevant experience.
Certification/Licenses/
Registration:
  • None required.
Preferred Qualifications
Certification/Licenses/
Registration:
  • Preferred: Patient Account or Coding certification.
FLSA Status

Non-Exempt

 

 

 

 

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

 1745

CA