Reimbursement Operations Specialist - Ob​/Gyn

Overview

Job Description

UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

The Reimbursement Operations Specialist working in our Ob/Gyn department (Remote following in-person training) is responsible for managing clinic and hospital insurance accounts receivable, and ensuring that billable patient charge documents have been correctly coded with standardized coding conventions to obtain optimum reimbursement.

Position Location: UTHealth Houston Ob/Gyn Revenue Cycle

Remote - following in-person training

• Reviews insurance company documents to ensure accuracy of reimbursement.
• Monitors charges/reimbursements to optimize the collection process.
• Interfaces with Medicare, Medicaid, and/or insurance companies to handle various problems.
• Analyzes fee structures to ensure professional fee billings.
• Stays abreast of coding procedures in order to utilize state-of-the-art methods of accurate reimbursement.
• Trains various personnel in billing procedures.
• Other duties as assigned.

Minimum Education: High School diploma or equivalent.

Minimum Experience: Two years of directly related experience in area of specialty. May substitute required experience with equivalent years of education beyond the minimum education requirement.

Physical Requirements: Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.

Security Sensitive: This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code 117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position.

Personnel in such positions will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure.

Residency: Employees must permanently reside and work in the State of Texas.

Our total rewards package includes the benefits you’d expect from a top healthcare organization, plus:

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time – around 37-38 days per year)
• The longer you stay, the more vacation you’ll accrue
• Longevity Pay (Monthly payments after two years of service)
• Build your future with our retirement/pension plan

We take care of our employees! We offer work/life services such as free financial and legal counseling, free mental health counseling services, gym membership discounts and access to wellness programs, other employee discounts including entertainment, car rentals, cell phones, etc., and resources for child and elder care.

University of Texas Health Science Center at Houston (UTHealth Houston) established in 1972 by The University of Texas System Board of Regents, is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. UTHealth Houston includes schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G.

McGovern Medical School, as well as clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon

B. Johnson Hospital.

Equal Employment Opportunity Statement: UTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical…