Reimbursement Operations Specialist - Ob/Gyn

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

Job summary

An established industry player in healthcare education and patient care is seeking a Reimbursement Operations Specialist. This role involves ensuring accurate billing and reimbursement processes for the OB/GYN department. As a vital part of the team, you will review insurance documents, monitor reimbursements, and train staff in billing procedures. The organization offers a supportive work environment with generous benefits, including 100% paid medical premiums and extensive time off. Join a team that values your contributions and invest in your future with a robust retirement plan.

Benefits

100% Paid Medical Premiums

Generous Time Off

Longevity Pay

Retirement/Pension Plan

Free Financial Counseling

Free Mental Health Counseling

Gym Membership Discounts

Employee Discounts

Resources for Child and Elder Care

Qualifications

• Two years of experience in medical billing and coding.
• Ability to analyze fee structures for accurate billing.

Responsibilities

• Review insurance documents for accuracy in reimbursement.
• Monitor charges to optimize the collection process.
• Interface with Medicare and Medicaid for problem resolution.

Skills

Insurance Billing

Coding Procedures

Reimbursement Optimization

Communication Skills

Education

High School Diploma

Job description

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 willensure 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 awesome retirement/pension plan!

We take care of our employees! As a world-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 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 in order to utilize state-of-the-art methods of accurate reimbursement.
6. Trains various personnel in billing procedures.
7. Other duties as assigned.

Certification/Skills:

Minimum Education:

High School diploma or equivalent.

Minimum Experience:

Two years of directly related experience in area of specialty.May substitute required experience with equivalent years of education beyond the minimum education requirement.

Physical Requirements:

Exerts 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 job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.