Coordinator, Patient Accounts Receivable - Appeals/Denials

Summary

Patient Business Services is seeking a Coordinator, Patient Accounts Receivable to expedite and maximize payment of insurance medical claims by contacting insurance payers and patients by telephone or website.

Job Duties

• Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
• Works on complex and/or specialized cases. 
• Provides assistance with inquiries from outside parties regarding account status and possible resolutions.
• Utilizes specialized knowledge of regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer.
• Resolves all denials, and requests for information, including appeals.
• Identifies trends in payer non-compliance and informs management accordingly.
• Follows up on outstanding accounts and makes proper notations in EPIC system and logs.
• May provide guidance and technical work direction to less experienced staff.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High School Diploma or GED.
• Minimum of two years of experience working in a medical setting, to include medical insurance and/or accounts receivable follow-up.

Preferred Qualifications

• A/R follow up experience.
• Experience speaking with insurance company reps for claim status.
• Experience accessing payer websites for claim information.
• Experience submitting appeals for reimbursement.

 

 

 

Work Authorization Requirement:

This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. 

 

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