Patient Services Associate I - Denials

**Job Title** Patient Services Associate I - Denials **Agency** Texas A&M University Health Science Center **Department** Clinic Str Finance Centralized **Proposed Minimum Salary** Commensurate **Job Location** Bryan, Texas **Job Type** Staff **Job Description** **Our Commitment**  Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & lived experiences. Embracing varying opinions and perspectives strengthens our [](https://www.tamu.edu/about/coreValues.html)[core](https://www.tamu.edu/about/coreValues.html) [](https://www.tamu.edu/about/coreValues.html)[values](https://www.tamu.edu/about/coreValues.html) [](https://www.tamu.edu/about/coreValues.html)which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.     **Who we are** As one of the fastest-growing academic health centers in the nation, [Texas A&M Health](https://health.tamu.edu/index.html) encompasses five colleges and numerous centers and institutes working together to improve health through transformative education, innovative research and team-based health care delivery.  **What we want** The **Patient Services Associate I** reviews, analyzes, and resolves denied or underpaid insurance claims, ensuring timely reimbursement and identifying trends to reduce future denials. **What you need to know** **Salary:** Will be commensurate based on the selected hire’s education and experience.    **Location/Schedule:** Bryan, TX/Full-Time _**Apply!** Submitting a cover letter, CV/Resume to assist us with the review process. You may upload these documents on the application under CV/Resume._   **Required Education and Experience** * High school diploma or equivalent combination of education and experience. * Two years of related experience in clinical billing, claims processing, or accounts receivable. **Preferred Qualifications** * Four years of related experience in denial management, medical billing, coding, or revenue cycle operations. * Experience with denial resolution processes. *  Experience with Epic EMR * Extensive understanding of medical billing, insurance guidelines, and Texas Medicaid. * Familiarity with electronic medical record systems, specifically Epic. **Knowledge, Skills, and Abilities** * Expertise in denial management, appeals processes, and claims resolution * Knowledge of HIPAA guidelines and working knowledge of electronic medical record systems (such as Epic) * Knowledge of word processing and Microsoft Excel spreadsheet applications * Effective verbal and written communication skills * Strong interpersonal, problem solving, and organizational skills * Strong attention to detail and ability to utilize sound judgment * Ability to work independently and cooperatively with others   **Responsibilities** **Denial Review and Resolution** * Reviews and analyzes denied or underpaid claims to determine root cause and appropriate resolution. * Prepares and submits timely appeals, including gathering supporting documentation and medical records. * Follows up with insurance companies on denied claims to ensure timely reconsideration and reimbursement. * Corrects and resubmits claims as necessary in accordance with payer requirements. * Documents all denial activities, actions taken, and outcomes in the billing system. **Denial Tracking and Reporting** * Monitors denial trends and identifies recurring issues impacting reimbursement. * Maintains denial logs and prepares reports for management review. * Communicates trends and recommends process improvements to reduce future denials. **Compliance** * Ensures compliance with payer guidelines, federal and state regulations, and organizational policies. **Why Texas A&M University?**  We are a prestigious university with strong traditions, Core Values, and a community of caring and collaboration.  Amenities associated with a major university, such as sporting and cultural events, state-of-the-art recreation facilities, the Bush Library and Museum, and much more await you.  Experience all that a big city has to offer but with a reasonable cost-of-living and no long commutes.    * [Medical,](https://www.tamus.edu/benefits/medical/) [prescription drug,](https://www.tamus.edu/benefits/prescriptions-express-scripts/) [dental,](https://www.tamus.edu/benefits/dental/) [vision,](https://www.tamus.edu/benefits/vision-insurance/) [life and AD&D,](https://www.tamus.edu/benefits/life-add/) [flexible spending accounts](https://www.tamus.edu/benefits/flexible-spending-accounts/), [and long-term disability insurance](https://www.tamus.edu/benefits/long-term-disability/) with Texas A&M contributing to employee health and basic life premiums   * [12-15 days](https://employees.tamu.edu/employee-relations/leave/index.html) of annual paid holidays    * Up to [eight hours of paid sick leave](https://employees.tamu.edu/employee-relations/leave/paid/sick.html) and at least [eight hours of paid vacation](https://employees.tamu.edu/employee-relations/leave/paid/vacation.html) each month   * Automatic enrollment in the [Teacher Retirement System of Texas](https://www.trs.texas.gov/Pages/Homepage.aspx)    * Health and Wellness: [Free exercise programs and release time](https://flourish.tamu.edu/wellness-release-time/)   * Professional Development: All employees have access to free [LinkedIn Learning](https://linkedinlearning.tamu.edu/) training, webinars, and limited financial support to attend conferences, workshops, and more    * [Educational release time and tuition assistance](https://livingwell.tamu.edu/employee-tuition-assistance) for completing a degree while a Texas A&M employee   * [Living Well,](https://livingwell.tamu.edu/) a program at Texas A&M that has been built by employees, for employees   **Instructions to Applicants:** Applications received by Texas A&M University must either have all job application data entered, or a resume attached. Failure to provide all job application data or a complete resume could result in an invalid submission and a rejected application. We encourage all applicants to upload a resume or use a LinkedIn profile to prepopulate the online application.  All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution’s verification of credentials and/or other information required by the institution’s procedures, including the completion of the criminal history check. Equal Opportunity/Veterans/Disability Employer.