patient account specialist - revenue cycle hb billing & denials

patient care assistant

Shriners Children's

<div>
 Shriners Children&rsquo;s is an organization that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
 
 
 All employees are eligible for medical, dental and vision coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a full-time or part-time status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans. Additional benefits available to full-time and part-time employees include tuition reimbursement, home &amp; auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.
 
 
 Shriners Children's Texas is where hope and healing meet. As one of only four pediatric burn specialty hospitals in the Shriners Children's health system, we are designated by the American Burn Association (ABA) and the American College of Surgeons Committee on Trauma as a verified pediatric burn center. Located on Galveston Island, our 30-bed inpatient hospital provides a full line of both inpatient and outpatient care specializing in burn care, orthopedic conditions, complex skin conditions, and plastic and reconstructive surgery. Our services extend to a number outreach clinics in San Angelo &amp; Marshall, Texas, and Monterrey, San Luis Potosi, Guadalajara, Veracruz, Toluca &amp; Chihuahua Mexico and Panama, which provide children and families access to high-quality, specialized burn and orthopedic care.
 
 
 The Patient Care Assistant assists in the delivery of patient care under the supervision of a Registered Nurse. The PCA provides direct patient care and performs routine tasks as assigned. Consistently demonstrates caring and appropriate behavior when interacting with patients and families. Assists with wound and skin care, keeps unit and work areas stocked, and provides delegated nursing care activities as appropriate.
 
 
 <ul>
 <li>
 Delivers patient care including personal hygiene, nutrition, elimination, mobility, ambulation, comfort and rest.
 </li>
 <li>
 Orients the patient and family to the patient care areas and assists them to feel comfortable with their surroundings.
 </li>
 <li>
 Provides delegated nursing care activities and assists the caregiver as appropriate in daily care, oral hygiene, weights, I&amp;O's.
 </li>
 <li>
 Takes part in the discharge process under the direction of the RN.
 </li>
 <li>
 Keeps unit and work areas stocked appropriate to the number, acuity and age of patients currently present including PPE.
 </li>
 <li>
 Seeks opportunities to assist others when assigned work is complete.
 </li>
 <li>
 Provides wound and skin care under the direction of the RN, as appropriate for assigned unit.
 
 
 
 </li>
 </ul>
 This is not an all-inclusive list of this job&rsquo;s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
 
 
 
 Required
 
 
 
 High School Diploma / GED
 
 
 Certified Nurse Assistant (CNA)
 
 
 Cardiopulmonary Resuscitation through American Heart Association (CPR)
 
 
 
 Preferred
 
 
 
 One year of pediatric experience
</div>

Patient Care Assistant

University of Texas Medical Branch

<div>EDUCATION &amp; EXPERIENCE:
Minimum Qualifications:<ul><li>
Two years of financial experience or one year of patient accounts experience.
</li></ul>JOB SUMMARY:
The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues affecting these claims. Takes necessary actions to ensure timely and appropriate reimbursement and account resolution.
ESSENTIAL JOB FUNCTIONS:<ul><li>
Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines</li><li>
Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements</li><li>
Billing payers and/or clients for hospital and/or Professional Patient Accounts</li><li>
Resolves Payer rejections from billing system daily to bill submit hospital and/or physicians claims</li><li>
Performs online corrections to edited claims according to procedures</li><li>
Performs detailed follow-up activities on assigned accounts according to procedures</li><li>
Responds to daily correspondence according to procedures</li><li>
Identifies denials and underpayments for appeal</li><li>
Reviews, researches, and processes denied claims</li><li>
Appeal claims as appropriate according to policies and procedures</li><li>
Updates account information and documents as appropriate within Epic Resolute</li><li>
Processes account adjustments according to policies/procedures</li><li>
Issues payer and/or patient refunds according to policies/procedures</li><li>
Validates accuracy of payments and/or adjustments on accounts</li><li>
Resolves outstanding accounts at required accuracy and productivity requirements</li><li>
Maintains comprehensive knowledge of the work unit assigned</li><li>
Assists in the development of department policies and procedures</li><li>
Adheres to established policies and procedures</li><li>
Adheres to internal controls and reporting structure</li><li>
Maintains open and professional communication with customers, colleagues, and vendors</li><li>
Performs well in a team environment</li></ul>
Marginal or Periodic Functions:<ul><li>
Successfully completes competency-based training and testing</li><li>
Prioritizes and completes all work in an accurate, effective, and efficient manner</li><li>
Participates in team meetings/activities and supports the philosophy and goals of the team and department</li><li>
Assists in the training and mentoring of new employees</li><li>
Reads all announcements and relevant communications relating to job duties</li><li>
Performs related duties as required.</li></ul>
WORKING ENVIRONMENT/EQUIPMENT:<ul><li>
Standard hospital, clinical, laboratory and/or office environments.</li><li>
Standard office equipment.</li></ul>
SALARY RANGE:
Actual salary commensurate with experience.
WORK SCHEDULE:
On-site, Monday through Friday, 8 AM - 5 PM. 
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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.</div>

Patient Account Specialist - Revenue Cycle HB Billing & Denials

Explore 2+ Patient care assistant in Galveston this April. Find roles across top companies and apply now to boost your career.

2 patient care assistant jobs In Galveston

Patient Care Assistant

Patient Account Specialist - Revenue Cycle HB Billing & Denials