Hybrid Remote Senior Patient Billing and Denials Specialist

UTMB Health; Galveston (TX); Hybrid; USD 55,000 - 75,000; Full time

Job summary

UTMB Health is seeking a Senior Patient Account Specialist to oversee billing for third-party payers and manage appeals for denied professional and hospital claims using Epic Resolute. The role includes identifying reimbursement issues and ensuring timely filing and account resolution.

The ideal candidate has 3+ years in patient accounts, 2+ years in Epic Revenue Cycle, and experience with payer guidelines, coding concepts, and claim follow-up.

Qualifications

• Associate degree or equivalent required.
• Minimum 3 years patient accounts experience.
• Minimum 2 years Epic Revenue Cycle experience.
• Preferred 2-3 years EPIC PB Resolute experience.

Responsibilities

• Billing payers and/or clients for hospital and/or professional patient accounts.
• Resolves denials and underpayments for appeal.
• Performs follow-up activities and researches denied claims.

Skills

Payer billing knowledge

Denial management

Attention to detail

Analytical skills

Education

Associate degree or equivalent

Tools

Epic Resolute

Epic Revenue Cycle

Job description

UTMB Health is seeking a Senior Patient Account Specialist to oversee billing for third-party payers and manage appeals for denied professional and hospital claims using Epic Resolute. The role includes identifying reimbursement issues and ensuring timely filing and account resolution.

The ideal candidate has 3+ years in patient accounts, 2+ years in Epic Revenue Cycle, and experience with payer guidelines, coding concepts, and claim follow-up.