Reimbursement Operations Specialist - Ob/Gyn

UTHealth in; Houston (TX); Hybrid; USD 40,000 - 70,000; Full time

Job summary

An established healthcare institution is seeking a Reimbursement Operations Specialist to join their OB/GYN Revenue Cycle Department. In this role, you will play a crucial part in ensuring accurate billing and reimbursement processes, interfacing with various insurance companies, and training personnel in billing procedures. The organization values its employees, offering a comprehensive benefits package, including 100% paid medical premiums, generous time off, and various wellness programs. This position provides a unique opportunity to contribute to patient care while enjoying a supportive work environment.

Benefits

100% paid medical premiums

Generous time off

Longevity Pay

Retirement/pension plan

Free financial and legal counseling

Free mental health counseling

Gym membership discounts

Employee discounts on entertainment

Resources for child and elder care

Qualifications

• Two years of experience in reimbursement operations.
• Knowledge of insurance billing and coding procedures.

Responsibilities

• Review insurance documents for reimbursement accuracy.
• Monitor charges to optimize collections.
• Interface with Medicare and insurance companies.

Skills

Reimbursement Processes

Insurance Billing

Coding Procedures

Financial Counseling

Education

High School Diploma

Job description

Reimbursement Operations Specialist - Ob/Gyn (Finance)

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.

The Reimbursement Operations Specialist will be responsible for: clinic and hospital insurance accounts receivable for the OB/GYN department. They will ensure that billable patient charge documents have been correctly coded with standardized coding conventions to obtain optimum reimbursement.

Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
• The longer you stay, the more vacation you'll accrue!
• Longevity Pay (Monthly payments after two years of service)
• Build your future with our retirement/pension plan!

We take care of our employees! As a renowned institution, our employees' wellbeing is important to us. We offer work/life services such as:

• Free financial and legal counseling
• Free mental health counseling services
• Gym membership discounts and access to wellness programs
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care
• Plus many more!

Position Details

Position Location: OB/GYN Revenue Cycle Department, In-office training then remote

Position Key Accountabilities:

1. Reviews insurance company documents to ensure accuracy of reimbursement.
2. Monitors charges/reimbursements to optimize collection process.
3. Interfaces with Medicare, Medicaid, and/or insurance companies to handle various problems.
4. Analyzes fee structures to ensure professional fee billings.
5. Stays abreast of coding procedures to utilize state-of-the-art methods of accurate reimbursement.
6. Trains personnel in billing procedures.
7. Performs other duties as assigned.

Certification/Skills:

Minimum Education:

High School diploma or equivalent.

Minimum Experience:

Two years of directly related experience in the area of specialty. Equivalent education beyond the minimum can substitute for experience.

Physical Requirements:

Ability to exert up to 50 pounds of force occasionally, and/or up to 20 pounds frequently, and/or up to 10 pounds constantly to move objects.

Security Sensitive:

This position may be security sensitive and subject to Texas Education Code § 51.215.

Residency Requirement:

Must permanently reside and work in Texas.