Required Education / Experience:

High school graduate or equivalent. Three years of financial experience or two years patient accounts experience. 

Job Description:

Performs follow-up activities on outstanding hospital and physician accounts and assists patients in the Medicaid/SSI application process. Takes necessary action to ensure timely and appropriate reimbursement and/or account resolution.

Essential Job Functions:

Assists patients in the Medicaid/SSI application process, converting unfunded patients into funded patients\ Acts as a liaison between the patient and various agencies such the Health and Human Services Commission (HHSC), the Social Security Administration (SSA), etc Coordinates  and  processes  various  forms/paperwork  necessary  for  Medicaid/SSI reimbursement, UTMB admissions, and/or other related forms Maintains open and professional communication with customers, colleagues and vendors Updates information and enters appropriate codes in the patient accounting system Maintains comprehensive knowledge of the work unit assigned Prepares and maintains reports related to job duties Updates and develops departmental policies and procedures Assists in the training and mentoring of new employees Adheres to established policies and procedures Adheres to internal controls and reporting structure Performs detailed follow-up activities on assigned accounts according to procedures Resolves outstanding AR accounts at a defined level of productivity Validates accuracy of payments and/or adjustments on accounts Processes account adjustments according to policy and procedures Researches and resolves credit balance accounts Identifies and/or prepares and processes account refunds Responds to daily correspondence Verifies eligibility for coverage with any commercial insurance, government or charity programs Performs account reviews, audits, and/or appeals Performs quality assurance reviews

Marginal or Periodic Job Functions:

Successfully completes competency based training and testing on an annual basis 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 Participates in special projects/assignments Reads all announcements and relevant communications relating to job duties Performs related duties as required

Work Environment / Location:

Standard hospital, clinical, laboratory and/or office environment 

Salary Range: 

Actual salary commensurate with experience 

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

Compensation