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Title:  Patient Accounts Representative II

Division:  Patient Business Services
Schedule:  Monday - Friday 8:00 a.m. - 5:00 p.m.
Work Location:  Houston, TX
Salary Range:  S30,962 - $37,200
FLSA Status:  Nonexempt
Requisition ID:  6658

Summary

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.

Job Duties

  • 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.
  • Performs other job related duties as assigned.

Minimum Qualifications

  • High school diploma or GED.
  • Three years of relevant experience.

Preferred Qualifications

  • Patient Account or Coding certification.

 

 

 

 

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

 6658