Patient Account Representative - Appeals/Denials (Remote)

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Position is responsible for the timely collection of third party and private pay receivables.Job Description

DESIRED SKILL SETS:

• Heavy analytical skills
• Strong research skills
• Experience working with payors
• Experience working healthcare appeals and/or denials
• Experience with claims and collections experience
• Able to work in a fast paced environment
• Flexible

Must be willing to work onsite initially before going remote

Minimum Qualifications

Education: High School Diploma or GED, preferred

Licenses/Certifications: (None)

Experience / Knowledge / Skills:

• Prefer three (3) years hospital business office or medical related experience
• Some knowledge of business office, patient billing, or collection/reimbursement procedures in a healthcare setting preferred
• Ability to multi-task in a fast paced, high volume environment
• Proficient in Microsoft office with emphasis on Excel, 10-key and math

Principle Accountabilities

• Reviews incoming correspondence and takes appropriate action. Responds promptly to inquiries.
• Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly.
• Documents communications accurately and completely.
• Serves as a mentor and resource for less experienced staff.
• See Addendums for Job Related Specific Duties
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.