Account Receivable Payment Review Specialist I – 100% Remote (Must Live in Greater Houston) Job Vacancy in Houston Methodist Houston, TX 77054 – Latest Jobs in Houston, TX 77054

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Company Name : Houston Methodist
Location : Houston, TX 77054
Position : Account Receivable Payment Review Specialist I – 100% Remote (Must Live in Greater Houston)

Job Description : Location:

Corporate
8100 Greenbriar St
Houston, TX 77054

Category: Professional
Job Type: Full-Time
Posted Date: April 1, 2022

JOB SUMMARY

The Payment Review Specialist I is responsible for identifying accounts with payment review opportunities, appropriately communicating with payors regarding contract compliance responsibilities and resolving reimbursement discrepancies.

Requirements:

DUTIES AND RESPONSIBILITIES

PEOPLE – Weight 30%

Interacts with others in a supportive respectful manner.
Participates in projects, programs and action plans to meet department goals.
Acknowledges and respects individual and cultural differences.
Collaborates and shares knowledge to support the Methodist vision, mission and goals.
Takes initiative to assist others.

Job Specific Accountabilities:

Demonstrates articulate, professional, and effective verbal and written communication skills.
Self-manages behaviors to meet/exceed departmental and hospital expectations.

FINANCE – Weight 5%

Utilizes department resources/supplies efficiently.
Identifies cost saving or revenue opportunities
Manages time effectively to meet established timelines.

QUALITY/SAFETY – Weight 30%

Provides timely, high quality information.
Maintains and achieves the highest standards of quality, delivery of care and service.
Continuously measures and improves quality outcomes.
Demonstrates knowledge and behaviors related to environmental, employee, or patient safely requirements.
Complies with Business Practices standards for performance.

Job Specific Accountabilities:

Effectively manages inventory in accordance with departmental standards.
Reviews accounts, takes appropriate action, and documents per departmental standards. The Payment Reviewer will look at the account to determine if the insurance company paid correctly. If paid correctly, the rep will post an adjustment to clear the balance.If paid incorrectly, the rep will transfer the account to the appeals staff.
Follows and understands Revenue Cycle fundamentals.

SERVICE – 10%

Responds promptly to internal and external customer requests.
Strives to exceed patients’ and co-workers’ expectations.
Provides a caring and supportive environment for patients and guests.
Identifies and anticipates customer requirements, expectations and needs.
Demonstrates service standards (e.g. ServicePRIDE/MethodistExperience/Service Excellence)

GROWTH/INNOVATION – 25%

Generates and communicates new ideas and suggestions that improve quality or service.
Demonstrates adaptability and flexibility in the face of changing demands.
Displays initiative to improve relative to job function.
Accepts feedback and changes behavior appropriately.
Approaches problems with an open mind and contributes to solutions.

Job Specific Accountabilities:

Effectively participates in meetings.
Participates in/leads staff education opportunities.

This position description is not intended to be all inclusive, and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required. The Houston Methodist Hospital reserves the right to revise or change job duties and responsibilities as the need arises.

Qualifications:

EDUCATION REQUIREMENTS

High school diploma/equivalent required, Bachelor’s degree in Business or related field preferred.

EXPERIENCE REQUIREMENTS

2+ years experience working with contract compliance or related skills.

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED

None

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

Good verbal and written communication skills in the English language

Company Profile:
Houston Methodist (HM) is one of the nation’s leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment. In 2019 Houston Methodist and its physicians treated more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services’ consulting and education divisions also provide advisory services and training and development to health care organizations around the world.

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