Job Title
Patient Services Associate I - Denials
Agency
Texas A&M University Health Science Center
Department
Clinic Str Finance Centralized
Proposed Minimum Salary
Commensurate
Job Location
Bryan, Texas
Job Type
Staff
Job Description
Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & lived experiences. Embracing varying opinions and perspectives strengthens our core values which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.
Who we are
As one of the fastest-growing academic health centers in the nation, Texas A&M Health encompasses five colleges and numerous centers and institutes working together to improve health through transformative education, innovative research and team-based health care delivery.
What we want
The Patient Services Associate I reviews, analyzes, and resolves denied or underpaid insurance claims, ensuring timely reimbursement and identifying trends to reduce future denials.
What you need to know
Salary: W ill be commensurate based on the selected hire’s education and experience .
Location/Schedule: Bryan, TX/Full-Time
Apply! Submitting a cover letter, CV/Resume to assist us with the review process. You may upload these documents on the application under CV/Resume.
Required Education and Experience
High school diploma or equivalent combination of education and experience.
Two years of related experience in clinical billing, claims processing, or accounts receivable.
Preferred Qualifications
Four years of related experience in denial management, medical billing, coding, or revenue cycle operations.
Experience with denial resolution processes.
Experience with Epic EMR
Extensive understanding of medical billing, insurance guidelines, and Texas Medicaid.
Familiarity with electronic medical record systems, specifically Epic.
Knowledge, Skills, and Abilities
Expertise in denial management, appeals processes, and claims resolution
Knowledge of HIPAA guidelines and working knowledge of electronic medical record systems (such as Epic)
Knowledge of word processing and Microsoft Excel spreadsheet applications
Effective verbal and written communication skills
Strong interpersonal, problem solving, and organizational skills
Strong attention to detail and ability to utilize sound judgment
Ability to work independently and cooperatively with others
Responsibilities
Denial Review and Resolution
Reviews and analyzes denied or underpaid claims to determine root cause and appropriate resolution.
Prepares and submits timely appeals, including gathering supporting documentation and medical records.
Follows up with insurance companies on denied claims to ensure timely reconsideration and reimbursement.
Corrects and resubmits claims as necessary in accordance with payer requirements.
Documents all denial activities, actions taken, and outcomes in the billing system.
Denial Tracking and Reporting
Monitors denial trends and identifies recurring issues impacting reimbursement.
Maintains denial logs and prepares reports for management review.
Communicates trends and recommends process improvements to reduce future denials.
Compliance
Why Texas A&M University?
We are a prestigious university with strong traditions, Core Values, and a community of caring and collaboration. Amenities associated with a major university, such as sporting and cultural events, state-of-the-art recreation facilities, the Bush Library and Museum, and much more await you. Experience all that a big city has to offer but with a reasonable cost-of-living and no long commutes.
Medical, prescription drug, dental, vision, life and AD&D, flexible spending accounts , and long-term disability insurance with Texas A&M contributing to employee health and basic life premiums
12-15 days of annual paid holidays
Up to eight hours of paid sick leave and at least eight hours of paid vacation each month
Automatic enrollment in the Teacher Retirement System of Texas
Health and Wellness: Free exercise programs and release time
Professional Development: All employees have access to free LinkedIn Learning training, webinars, and limited financial support to attend conferences, workshops, and more
Educational release time and tuition assistance for completing a degree while a Texas A&M employee
Living Well, a program at Texas A&M that has been built by employees, for employees
Instructions to Applicants: Applications received by Texas A&M University must either have all job application data entered, or a resume attached. Failure to provide all job application data or a complete resume could result in an invalid submission and a rejected application. We encourage all applicants to upload a resume or use a LinkedIn profile to prepopulate the online application.
All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution’s verification of credentials and/or other information required by the institution’s procedures, including the completion of the criminal history check.
Equal Opportunity/Veterans/Disability Employer.
