Healthcare Billing Specialist: Payer & Denials Expert

The University of Texas Medical Branch; Galveston (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

The University of Texas Medical Branch in Galveston is seeking a Patient Account Specialist to handle billing for third‑party payers, follow up on denied claims, and ensure timely reimbursement. The role focuses on hospital and professional accounts with expertise in payer guidelines.

Requires two years of financial experience or one year in patient accounts; preferred healthcare billing experience and strong knowledge of Medicare/Medicaid.

Qualifications

• Two years of financial experience or one year of patient accounts experience.
• Role-Specific Experience: 1–3+ years of experience in healthcare billing, revenue cycle, or medical collections.
• Payer Knowledge: Strong understanding of Medicare, Medicaid, and major commercial insurance claim filing guidelines.
• Payer Portals: Experience utilizing insurance web portals to verify claim status, access provider manuals, and review reimbursement methodologies.

Responsibilities

• Billing payers and/or clients for hospital and/or Professional Patient Accounts.
• Resolves payer rejections from billing system daily to bill submit hospital and/or physicians claims.
• Performs online corrections to edited claims according to procedures.
• Performs detailed follow-up activities on assigned accounts according to procedures.
• Updates account information and documents as appropriate within Epic Resolute.

Skills

Financial experience

Healthcare billing

Payer portals

Tools

Epic Resolute

Job description

The University of Texas Medical Branch in Galveston is seeking a Patient Account Specialist to handle billing for third‑party payers, follow up on denied claims, and ensure timely reimbursement. The role focuses on hospital and professional accounts with expertise in payer guidelines.

Requires two years of financial experience or one year in patient accounts; preferred healthcare billing experience and strong knowledge of Medicare/Medicaid.