Patient Account Representative II - Rev Cycle

UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. We are seeking a Patient Account Representative II to support insurance eligibility and verification functions within our Revenue Cycle team. The role is responsible for verifying benefits, obtaining authorizations, ensuring accurate patient account information, and meeting productivity metrics. The ideal candidate is detail‑oriented, supports positive patient interactions, and thrives in a collaborative healthcare environment with opportunities for growth. Employment Details Department: Revenue Cycle Status: Full‑time Location: Remote (2‑4 weeks onsite for training at 1851 Crosspoint Ave, 77054) Must live in Texas (TX). We do not provide lodging or mileage reimbursement for training. Position Summary The patient account representative is responsible for the timely collection of third‑party and private‑pay receivables within regulatory guidelines. Key Accountabilities Manage multiple work queues for follow‑up and denials by engaging payer websites and initiating calls to ensure prompt payment of medical claims. Review incoming correspondence and take appropriate action; respond promptly to inquiries. Identify denial trends and notify supervisor/manager to prevent future denials and payment delays. Pursue appeals to bring accounts to resolution. Analyze accounts for errors, adjustments, and credits; issue corrected entries when necessary and update account information accordingly. Document communications clearly, indicating actions taken and further steps needed for payment capture. Meet departmental standards for quality and productivity. Perform other duties as assigned. Certification and Skills Basic knowledge of business office, patient billing, or collection/reimbursement procedures in a healthcare setting; proficiency in MS Office, especially Excel; 10‑key and math skills. Minimum Education High School Diploma or equivalent. Minimum Experience Three years of hospital/medical collections experience with understanding of third‑party reimbursement procedures and state/federal healthcare regulations. Physical Requirements Exert up to 20 pounds of force occasionally; up to 10 pounds frequently; or negligible amount constantly to move objects. Security Sensitive This position is security‑sensitive pursuant to Texas Education Code 51.215 and Texas Government Code 411.094; and a residency requirement per Texas Business and Commerce Code 117.001(2) and 791.4. Benefits 100% paid medical premiums for full‑time employees. Generous time off: holidays, preventative leave day, vacation and sick time totaling around 37–38 days per year. Vacation accrues with longevity. Longevity Pay: monthly payments after two years of service. Retirement/pension plan. Employee welfare: free financial and legal counseling, free mental health counseling, gym membership discounts and wellness programs, employee discounts (entertainment, car rentals, cell phones, etc.), resources for child and elder care. Employees Must Resident Employees must permanently reside and work in the State of Texas. #J-18808-Ljbffr UTHealth Houston