What we do here changes the world. 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, In addition to .ensuring that billable patient charge documents have been correctly coded with standardized coding conventions to obtain optimum reimbursement.

Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:

100%25 paid medical premiums for our full-time employees
Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to 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 awesome retirement/pension plan!

We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. 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.
Resources for child and elder care
Plus many more!

Position Location:

UTHealth Houston Ob/Gyn Revenue Cycle

Remote - following in-person training

Position Key Accountabilities:

Reviews insurance company documents to ensure accuracy of reimbursement.
Monitors charges/reimbursements to optimize 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.

Certification/Skills:

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, and similarly situated state contractors, 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. A foreign adversary is a nation listed in 15 C.F.R. §791.4.

Residency Requirement:

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

Learn more about this Employer on their Career Site

Reimbursement Operations Specialist - Ob/Gyn