%3Cp%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cstrong%3EWhat we do here changes the world.%3C/strong%3E UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.%3C/p%3E%3Cp%3E%3Cstrong%3EOnce you join us you won%27t want to leave.%3C/strong%3E It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus: %26nbsp;%3C/p%3E%3Cul%3E%3Cli%3E100% paid medical premiums for our full-time employees %26nbsp;%3C/li%3E%3Cli%3EGenerous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)%26nbsp;%3C/li%3E%3Cli%3EThe longer you stay, the more vacation you’ll accrue!%26nbsp;%3C/li%3E%3Cli%3ELongevity Pay (Monthly payments after two years of service)%26nbsp;%3C/li%3E%3Cli%3EBuild your future with our awesome retirement/pension plan!%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EWe take care of our employees!%3C/strong%3E As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...%26nbsp;%3C/p%3E%3Cul%3E%3Cli%3EFree financial and legal counseling%26nbsp;%3C/li%3E%3Cli%3EFree mental health counseling services%26nbsp;%3C/li%3E%3Cli%3EGym membership discounts and access to wellness programs%26nbsp;%3C/li%3E%3Cli%3EOther employee discounts including entertainment, car rentals, cell phones, etc.%26nbsp;%3C/li%3E%3Cli%3EResources for child and elder care%26nbsp;%3C/li%3E%3Cli%3EPlus many more!%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPosition Summary:%3C/strong%3E%3C/p%3E%3Cp%3EThe patient account representative is responsible for the timely collection of third party and private pay receivables within regulatory guidelines. %26nbsp;%3C/p%3E%3Cp%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3EThe Patient Account Representative II role centers on the back-end functions of the revenue cycle, covering the full spectrum of patient accounting services. It places a strong emphasis on insurance follow-up and denials resolution as core areas of specialization.%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level1 lfo1;mso-themecolor:accent2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3EManages account resolution related to insurance follow-up and denials management%3C/strong%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level1 lfo1;mso-themecolor:accent2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3EOverseas back-end revenue cycle functions from discharge through final account resolution%3C/strong%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level1 lfo1;mso-themecolor:accent2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3ECoordinates with payers to resolve outstanding claims and ensure timely reimbursement%3C/strong%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level1 lfo1;mso-themecolor:accent2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3ESpecializes in identifying, tracking, and resolving claim denials to reduce delays and prevent revenue loss%3C/strong%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level1 lfo1;mso-themecolor:accent2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3ELocation: Remote (2- 4 weeks onsite for training, 1851 Crosspoint Ave, 77054)%26nbsp;Must be able to attend any required onsite meetings%3C/strong%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level1 lfo1;mso-themecolor:accent2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3EMust live in Texas (TX).%26nbsp;This is a Remote position, and you must reside in Texas%3C/strong%3E%3C/span%3E%3C/span%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22color:#E97132;mso-list:l0 level2 lfo1;mso-themecolor:accent2;tab-stops:list 1.0in;%22%3E%3Cspan style=%22color:blue;%22%3E%3Cspan style=%22mso-bidi-font-size:11.0pt;mso-style-textfill-fill-alpha:100.0%;mso-style-textfill-fill-color:#C04F15;mso-style-textfill-fill-colortransforms:lumm=75000;mso-style-textfill-fill-themecolor:accent2;mso-themecolor:accent2;mso-themeshade:191;%22%3E%3Cstrong%3E**We DO NOT provide lodging or mileage reimbursement for training**%3C/strong%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPosition Key Accountabilities:%3C/strong%3E%3C/p%3E%3Cp%3E1.%26nbsp;%26nbsp; %26nbsp;Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims.%3Cbr%3E2.%26nbsp;%26nbsp; %26nbsp;Reviews incoming correspondence and takes appropriate action. Responds promptly to inquiries.%3Cbr%3E3.%26nbsp;%26nbsp; %26nbsp;Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments.%3Cbr%3E4.%26nbsp;%26nbsp; %26nbsp;Pursues appeals and takes the necessary steps to bring accounts to resolution.%3Cbr%3E5.%26nbsp;%26nbsp; %26nbsp;Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. %26nbsp;Updates account information accordingly.%3Cbr%3E6.%26nbsp;%26nbsp; %26nbsp;Communication documentation demonstrates clear action taken on each account as well as what further action is needed to capture payment. Work output is documented clearly, so that various departments involved in resolution can review the account.%3Cbr%3E7.%26nbsp;%26nbsp; %26nbsp;Ability to meet departmental standard for quality and productivity.%3Cbr%3E8.%26nbsp;%26nbsp; %26nbsp;Other duties as assigned.%3C/p%3E
Certification/Skills:
Basic knowledge of business office, patient billing, or collection/ reimbursement procedures in a healthcare setting; proficient in MS Office with emphasis in Excel, 10-key and math.
Minimum Education:
High School Diploma or equivalent
Minimum Experience:
Three years hospital/ medical collections experience with understanding of third party reimbursement procedures, as well as state and federal regulations governing healthcare.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.