Patient Accounting Representative, Pat Fin Svc-Billing-Follow-Up, Full Time, 1st Shift
- Req. Number: 21047
- Address: 3200 Burnet Ave
- City, State: Remote
- Job Type: Full time
- Posted Date: 10/7/2025
Job Description
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
The Patient Accounting Representative bills claims electronically, check for unpaid claim status, post cash, pursue self pay cash collections, scan documents, request medical records and/or provide customer service.
Responsibilities
The Revenue Cycle Follow-Up Representative is responsible for the timely and accurate follow-up of outstanding hospital claims to insurance payers, ensuring prompt and accurate reimbursement. This role requires proactive management of aged accounts receivable (AR), identification and resolution of payment delays or denials, and collaboration with internal departments and external payer representatives to remove barriers to payment. The position contributes directly to the organization's financial health by reducing AR days, improving cash flow, and supporting clean claim submission processes.
Key Responsibilities:
Claim Follow-Up & Resolution
Review, research, and follow up on unpaid or underpaid hospital claims using payer portals, Epic, and other billing systems.
Contact insurance companies via phone, portal, or email to determine claim status and expedite adjudication.
Identify and resolve issues causing delayed or denied payments (e.g., coding discrepancies, authorization issues, medical necessity denials, eligibility, COB).
Document all follow-up actions and payer communications accurately within the billing system per departmental policy.
Denial Management
Investigate and resolve claim denials or rejections by determining root cause.
Collaborate with Denials, Coding, and Billing teams to correct and resubmit claims when appropriate.
Escalate systemic or payer-specific trends to supervisors or payer relations for intervention.
Compliance & Policy Adherence
Ensure all billing and collection activities comply with CMS, state Medicaid, and payer-specific rules.
Maintain up-to-date knowledge of payer contracts, billing guidelines, and regulatory requirements.
Follow HIPAA and internal privacy/security standards at all times.
Performance & Reporting
Meet productivity and quality standards for accounts worked daily and weekly.
Assist with achieving departmental AR aging and collection ratio goals.
Provide feedback on payer trends, process improvements, and workflow enhancements.
Collaboration
Partner with supervisors, Government/Managed Care follow-up teams, Patient Financial Services, and Payer Relations to address chronic payer issues.
Participate in payer meetings and internal workgroups as needed to resolve escalations and improve processes.
Qualifications
Minimum Required: High School Diploma or GED. Preferred: Associate's Degree. | LICENSE & CERTIFICATION: N/A. | Minimum Required: 3 - 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
The Patient Accounting Representative bills claims electronically, check for unpaid claim status, post cash, pursue self pay cash collections, scan documents, request medical records and/or provide customer service.
Responsibilities
The Revenue Cycle Follow-Up Representative is responsible for the timely and accurate follow-up of outstanding hospital claims to insurance payers, ensuring prompt and accurate reimbursement. This role requires proactive management of aged accounts receivable (AR), identification and resolution of payment delays or denials, and collaboration with internal departments and external payer representatives to remove barriers to payment. The position contributes directly to the organization's financial health by reducing AR days, improving cash flow, and supporting clean claim submission processes.
Key Responsibilities:
Claim Follow-Up & Resolution
Review, research, and follow up on unpaid or underpaid hospital claims using payer portals, Epic, and other billing systems.
Contact insurance companies via phone, portal, or email to determine claim status and expedite adjudication.
Identify and resolve issues causing delayed or denied payments (e.g., coding discrepancies, authorization issues, medical necessity denials, eligibility, COB).
Document all follow-up actions and payer communications accurately within the billing system per departmental policy.
Denial Management
Investigate and resolve claim denials or rejections by determining root cause.
Collaborate with Denials, Coding, and Billing teams to correct and resubmit claims when appropriate.
Escalate systemic or payer-specific trends to supervisors or payer relations for intervention.
Compliance & Policy Adherence
Ensure all billing and collection activities comply with CMS, state Medicaid, and payer-specific rules.
Maintain up-to-date knowledge of payer contracts, billing guidelines, and regulatory requirements.
Follow HIPAA and internal privacy/security standards at all times.
Performance & Reporting
Meet productivity and quality standards for accounts worked daily and weekly.
Assist with achieving departmental AR aging and collection ratio goals.
Provide feedback on payer trends, process improvements, and workflow enhancements.
Collaboration
Partner with supervisors, Government/Managed Care follow-up teams, Patient Financial Services, and Payer Relations to address chronic payer issues.
Participate in payer meetings and internal workgroups as needed to resolve escalations and improve processes.
Qualifications
Minimum Required: High School Diploma or GED. Preferred: Associate's Degree. | LICENSE & CERTIFICATION: N/A. | Minimum Required: 3 - 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.
