Patient Account Representative II - Rev Cycle
Position Summary
The Patient Account Representative II provides customer service for billing inquiries in Epic CRM, ensuring timely & accurate resolution. The role partners with the offsite call center to manage escalations and complex issues through Epic workqueues, and supports clinics with as-needed outbound calls and escalation handling.
Location
Remote (2- 4 weeks onsite for training, 1851 Crosspoint Ave, Houston, TX 77054)
Must be able to attend any required onsite meetings
Must live in Texas (TX).
Position Key Accountabilities
- Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
- Reviews incoming correspondence and takes appropriate action.
- Responds promptly to inquiries.
- Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments.
- Pursues appeals and takes the necessary steps to bring accounts to resolution.
- Analyzes accounts for errors, adjustments, and credits, issuing corrected entries when necessary.
- Updates account information accordingly.
- Communication documentation demonstrates clear action taken on each account as well as what further action is needed to capture payment.
- Work output is documented clearly, so that various departments involved in resolution can review the account.
- Able to meet departmental standard for quality and productivity.
Physical Requirements
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive
This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position.
Residency Requirement
Employees must permanently reside and work in the State of Texas.