Eligibility Specialist II - Revenue Cycle Financial Clearance **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2500655 **Required Education / Experience:** High school graduate or equivalent. Three years of financial experience or two years patient accounts experience. **Job Description:** Performs follow-up activities on outstanding hospital and physician accounts and assists patients in the Medicaid/SSI application process. Takes necessary action to ensure timely and appropriate reimbursement and/or account resolution. **Essential Job Functions:** + AssistspatientsintheMedicaid/SSIapplicationprocess,convertingunfundedpatientsinto funded patients\ + ActsasaliaisonbetweenthepatientandvariousagenciessuchtheHealthandHumanServicesCommission(HHSC),theSocialSecurityAdministration(SSA),etc + Coordinatesandprocessesvariousforms/paperworknecessaryforMedicaid/SSIreimbursement,UTMBadmissions,and/or other relatedforms + Maintainsopenand professionalcommunicationwithcustomers,colleaguesandvendors + Updatesinformation andentersappropriatecodesinthepatientaccounting system + Maintainscomprehensiveknowledgeoftheworkunitassigned + Preparesandmaintainsreportsrelatedtojob duties + Updatesanddevelopsdepartmentalpoliciesandprocedures + Assistsinthetrainingandmentoring ofnewemployees + Adherestoestablished policiesand procedures + Adherestointernalcontrolsandreporting structure + Performsdetailed follow-upactivitiesonassignedaccountsaccordingtoprocedures + Resolves outstandingARaccountsat adefinedlevelofproductivity + Validates accuracyofpaymentsand/oradjustmentsonaccounts + Processesaccountadjustmentsaccording to policyandprocedures + Researchesandresolvescreditbalanceaccounts + Identifies and/or preparesandprocessesaccountrefunds + Responds todailycorrespondence + Verifieseligibilityforcoveragewithanycommercialinsurance,governmentorcharityprograms + Performsaccountreviews,audits,and/or appeals + Performsqualityassurancereviews **Marginal or Periodic Job Functions:** + Successfullycompletescompetencybasedtrainingandtestingonanannualbasis + Prioritizes andcompletesallworkinanaccurate,effectiveandefficientmanner + Participatesinteammeetings/activitiesandsupportsthephilosophyandgoalsoftheteamand department + Participates inspecialprojects/assignments + Readsallannouncementsandrelevantcommunicationsrelatingtojobduties + Performsrelateddutiesasrequired **Work Environment / Location:** Standard hospital, clinical, laboratory and/or office environment **Salary Range:** Actual salary commensurate with experience **Equal Employment Opportunity** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities. Compensation