The University of Texas Medical Branch · 1 day ago
Patient Account Specialist - Revenue Cycle HB Billing & Denials
Galveston, TX
Full-time
Onsite
Entry Level
1+ years expThe University of Texas Medical Branch is seeking a Patient Account Specialist who will be responsible for billing all third-party payers and handling appeals for denied claims. The role involves identifying billing issues and ensuring timely reimbursement and account resolution through various follow-up activities and adherence to established regulations and procedures.
Hospital & Health Care
Responsibilities
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements
Billing payers and/or clients for hospital and/or Professional Patient Accounts
Resolves Payer rejections from billing system daily to bill submit hospital and/or physicians claims
Performs online corrections to edited claims according to procedures
Performs detailed follow-up activities on assigned accounts according to procedures
Responds to daily correspondence according to procedures
Identifies denials and underpayments for appeal
Reviews, researches, and processes denied claims
Appeal claims as appropriate according to policies and procedures
Updates account information and documents as appropriate within Epic Resolute
Processes account adjustments according to policies/procedures
Issues payer and/or patient refunds according to policies/procedures
Validates accuracy of payments and/or adjustments on accounts
Resolves outstanding accounts at required accuracy and productivity requirements
Maintains comprehensive knowledge of the work unit assigned
Assists in the development of department policies and procedures
Adheres to established policies and procedures
Adheres to internal controls and reporting structure
Maintains open and professional communication with customers, colleagues, and vendors
Performs well in a team environment
Successfully completes competency-based training and testing
Prioritizes and completes all work in an accurate, effective, and efficient manner
Participates in team meetings/activities and supports the philosophy and goals of the team and department
Assists in the training and mentoring of new employees
Reads all announcements and relevant communications relating to job duties
Performs related duties as required
Qualification
Required
Two years of financial experience or one year of patient accounts experience
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements
Billing payers and/or clients for hospital and/or Professional Patient Accounts
Resolves Payer rejections from billing system daily to bill submit hospital and/or physicians claims
Performs online corrections to edited claims according to procedures
Performs detailed follow-up activities on assigned accounts according to procedures
Responds to daily correspondence according to procedures
Identifies denials and underpayments for appeal
Reviews, researches, and processes denied claims
Appeal claims as appropriate according to policies and procedures
Updates account information and documents as appropriate within Epic Resolute
Processes account adjustments according to policies/procedures
Issues payer and/or patient refunds according to policies/procedures
Validates accuracy of payments and/or adjustments on accounts
Resolves outstanding accounts at required accuracy and productivity requirements
Maintains comprehensive knowledge of the work unit assigned
Assists in the development of department policies and procedures
Adheres to established policies and procedures
Adheres to internal controls and reporting structure
Maintains open and professional communication with customers, colleagues, and vendors
Performs well in a team environment
Company
The University of Texas Medical Branch
The University of Texas Medical Branch is a component of the University of Texas System located in Galveston, Texas
10001+ employees
H1B Sponsorship
The University of Texas Medical Branch has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (73)
2024 (66)
2023 (52)
2022 (57)
2021 (49)
2020 (50)
Funding
Current Stage
Late StageTotal Funding
$35MKey Investors
National Institute of Allergy and Infectious Diseases
2024-09-13Grant
2019-04-09Grant· $35M
Leadership Team
Donna Sollenberger
EVP and CEO, Health System
Recent News
2025-10-30
Quetzal Therapeutics
2025-09-17
EIN Presswire
2025-08-25
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