Hybrid Remote Patient Accounts Billing & Denials

Utmb; Galveston (TX); Hybrid; USD 42,000 - 65,000; Full time

Job summary

UTMB Health is seeking a Patient Account Specialist for RCO PB Follow Up in a hybrid remote role. You will manage billing for third-party payers, respond to denials, and perform follow-up to ensure timely reimbursement for hospital and physician claims.

The role requires familiarity with CPT/ICD coding basics and payer guidelines. The position emphasizes coordination with payers, use of Epic Resolute, and adherence to department policies.

Qualifications

• Two years of financial experience or one year of patient accounts experience.
• Knowledge of insurance verification, claims processing, and reimbursement guidelines.
• Experience with Commercial, Medicare, and Medicaid payers.
• Experience with Epic or a comparable patient accounting/EHR system.

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 physician claims.
• Performs online corrections to edited claims according to procedures.
• Performs detailed follow-up activities on assigned accounts according to procedures.
• Responds to daily correspondence according to procedures.
• Identifies denials and underpayments for appeal.
• Reviews, researches, and processes denied claims.
• Appeal claims as appropriate according to policies and procedures.
• Updates account information and documents as appropriate within Epic Resolute.

Skills

Revenue cycle experience

Insurance verification

Claims processing

Denials management

Epic Resolute knowledge

Tools

Epic Resolute

Job description

UTMB Health is seeking a Patient Account Specialist for RCO PB Follow Up in a hybrid remote role. You will manage billing for third-party payers, respond to denials, and perform follow-up to ensure timely reimbursement for hospital and physician claims.

The role requires familiarity with CPT/ICD coding basics and payer guidelines. The position emphasizes coordination with payers, use of Epic Resolute, and adherence to department policies.