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Sr. Patient Account Specialist - Revenue Cycle Financial Clearance

University of Texas Medical Branch (UTMB)

Galveston, Texas, United StatesOn Site

Original Job Summary

Job Overview

The Sr. Patient Account Specialist - Revenue Cycle Financial Clearance is responsible for billing third-party payers using a claims processing vendor and appealing denied claims for both professional and hospital accounts. The role includes identifying billing issues, performing follow-ups, and ensuring timely and accurate reimbursement.

Minimum Qualifications

Associate degree or equivalent; at least three years of patient accounts experience; and a minimum of two years Epic Revenue Cycle experience.

Essential Job Functions

  • Bill third-party payers and/or clients for hospital and professional accounts.
  • Resolve payer rejections and perform online claim corrections.
  • Follow-up on assigned accounts and process denied claims.
  • Appeal claims and update account information in Epic Resolute.
  • Process account adjustments and issue refunds as per procedures.

Marginal or Periodic Functions

  • Complete competency-based training and testing.
  • Participate in team meetings and support departmental goals.
  • Assist in training and mentoring new employees.
  • Review and respond to job-related communications.

Key Skills/Competency

Billing, Claims Processing, Revenue Cycle, Epic, Coding, CPT, ICD-9, HCPCS, Follow-up, Appeals

How to Get Hired at University of Texas Medical Branch (UTMB)

🎯 Tips for Getting Hired

  • Research UTMB's culture: Study mission, values, and recent news.
  • Customize your resume: Highlight billing and Epic experience.
  • Apply online: Use clear, keyword-rich application materials.
  • Prepare for interviews: Practice claim resolution scenarios.

📝 Interview Preparation Advice

Technical Preparation

Review Epic Revenue Cycle processes.
Practice CPT and ICD-9 coding scenarios.
Update knowledge of billing regulations.
Familiarize with insurance claim software.

Behavioral Questions

Describe previous billing challenge resolution.
Discuss teamwork in claim follow-up.
Explain handling of billing discrepancies.
Share examples of mentoring new colleagues.