Patient Services Associate I - Denials

Job TitlePatient Services Associate I - Denials Agency Texas A&M University Health Science Center Department Clinic Str Finance Centralized Proposed Minimum SalaryCommensurate Job LocationBryan, Texas Job TypeStaff Job Description Our Commitment 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:

Will 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 Ensures compliance with payer guidelines, federal and state regulations, and organizational policies. 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. The Texas A&M University System is one of the largest systems of higher education in the nation, with a statewide network of twelve universities, eight state agencies, a comprehensive health science center, Texas A&M-Fort Worth and Texas

A&M-RELLIS.

The A&M System is committed to providing an educational and work environment that is conducive to the personal and professional development of each employee. Each member institution provides equal opportunity and access to all students, employees and prospective employees. External Applicants - Applicants not currently employed by a Texas A&M System member may Search Postings and apply for positions within one or more A&M System members by selecting the job posting. Internal Applicants - This site lists job postings throughout The Texas A&M University System. It is intended for applicants not currently employed by a member of the system. Current employees should apply for jobs on the Internal Career site. The Texas A&M System is an Equal Opportunity/ Veterans/ Disability Employer.