Hybrid Patient Account Specialist – Billing & Claims

Utmb; Galveston (TX); Hybrid; USD 45,000 - 65,000; Full time

Job summary

UTMB Health in Galveston is seeking a Patient Account Specialist - RCO HB Follow Up for a hybrid remote role. The position focuses on billing third-party payers, appealing denied claims, and performing follow-up to ensure timely reimbursements.

Ideal candidates have 2 years of financial experience or 1 year in patient accounts, with strong knowledge of coding (ICD-10, CPT, HCPCS) and experience with clearinghouses like Availity or eMEDIX. Proficiency in Excel forTrend analysis is preferred.

Qualifications

• Two years of financial experience or one year of patient accounts experience.
• Deep understanding of ICD-10, CPT, and HCPCS codes to correct mismatches and invalid codes.
• Ability to use automated, real-time claim scrubbing tools to identify errors before submission.
• Familiarity with clearinghouse platforms (e.g., Availity, eMEDIX) and EHR/Practice Management systems to fix patient demographics.

Responsibilities

• Billing third-party payers through a claims processing vendor.
• Appeal denied professional and/or hospital claims as needed.
• Follow-up on assigned accounts to ensure timely reimbursement and resolution.
• Identify denials and underpayments for appeal and correct edited claims.

Skills

Financial experience

Patient accounts

Coding knowledge (ICD-10, CPT, HCPCS)

Excel data analysis

Tools

Availity

eMEDIX

TriZetto

Epic Resolute

Job description

UTMB Health in Galveston is seeking a Patient Account Specialist - RCO HB Follow Up for a hybrid remote role. The position focuses on billing third-party payers, appealing denied claims, and performing follow-up to ensure timely reimbursements.

Ideal candidates have 2 years of financial experience or 1 year in patient accounts, with strong knowledge of coding (ICD-10, CPT, HCPCS) and experience with clearinghouses like Availity or eMEDIX. Proficiency in Excel forTrend analysis is preferred.