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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:  Houston, TX
Salary Range:  $31,581 - $42,714
FLSA Status:  Nonexempt
Requisition ID:  8831

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

  • Assists the AR follow up team with payment reimbursement.
  • Calls insurance companies or access payer website for claim status, appeal status on denied claims and payment reimbursement.
  • Expedites and maximizes payment of insurance medical claims by contacting the patients or insurance companies concerning unpaid accounts receivables via telephone or online systems.
  • Follows up on outstanding accounts and make proper notations (updating insurance information, using correct activity codes) in the Epic system.
  • Investigates and resolves denials, unpaid accounts, partially paid accounts and requests for information, including appeals.
  • Reviews invoices to verify payments accurate contractual adjustments.
  •  Updates patient information and file medical claims with correct information, via electronic or paper submission.
  • Assists with inquiries from outside parties regarding account status.
  • Performs other job related duties as assigned.
  • 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.
  • Provides guidance and technical work direction to less experienced Patient Account Representatives.

Minimum Qualifications

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

Preferred Qualifications

  • Three years of AR follow up experience.

 

 

 

 

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

 8831

CA