Patient Accounts Representative II/ Appeals and Denials

Job Purpose

Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients.

Job Duties

• Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website
• Assists with inquiries from outside parties regarding account status.
• Reviews invoices to verify payments and contractual adjustments.
• Resolves all denials, and requests for information, including appeals.
• Follows up on outstanding accounts and makes proper notations in EPIC system.
• May provide guidance and technical work direction to less experienced Patient Account Representatives.

Minimum Qualifications

• High school diploma or equivalent.
• Three years of directly related experience.

Preferred Qualifications

• Knowledge of Epic system.
• Knowledge of Anesthesia follow-up.

Other

• Knowledge of Medical insurance AR follow-up and collection practices.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

4159

CA