Patient Accounts Specialist — Reimbursement & Billing

UMC Health System; Texas; On-site; USD 42,000 - 62,000; Full time

Job summary

UMC Health System in Texas seeks a Patient Account Representative to manage in-network and out-of-network accounts, applying MTALA guidelines and ensuring correct reimbursements through solid accounting and clerical skills.

The role interfaces with multiple departments and third-party payers, maintaining timely documentation and supporting cash collections while upholding payer contracts and established procedures.

Qualifications

• Ability to communicate both verbally and in writing.
• Basic accounting and detailed clerical skills.
• Knowledge of medical and third party payer terminology.

Responsibilities

• Manage and have knowledge of all contracts particular to your desk.
• Determine if correct reimbursement has been submitted by the payer and/or if credit is due to incorrect proration.
• Use the correct transaction codes when adjustments are required on a visit.
• All mail received should be worked within 48 hours from received stamped date.
• Inform Supervisor or Director of large dollar adjustments, at least weekly.
• Work as a team member to ensure departmental cash collections goals are met or exceeded.

Skills

Verbal and written communication

Mainframe computer skills

Basic accounting

Clerical skills

Customer relations

Education

High school graduate or equivalent

Some college

Job description

UMC Health System in Texas seeks a Patient Account Representative to manage in-network and out-of-network accounts, applying MTALA guidelines and ensuring correct reimbursements through solid accounting and clerical skills.

The role interfaces with multiple departments and third-party payers, maintaining timely documentation and supporting cash collections while upholding payer contracts and established procedures.