Job description

Job Title: Patient Account Specialist Senior

Location: Houston, TX 77008

Shift Timing: 08:00 AM – 05:00 PM

Working Hours: 40 hr./Week

Contract: 12 Weeks

Note: Must have medical collections call center experience- No patient Access candidates.

Summary:

• Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to resolve accounts placed with TLRA for collection successfully.
• This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state and federal guidelines.
• Patient and client satisfaction is essential. Associates in the collection units are expected to know the overall collection work processes for the active AR and BD inventory.
• Possesses a thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process.
• Utilizes and applies industry knowledge to resolve aged accounts receivable by working various account types including, but not limited to: hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high priority accounts, etc.
• Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls in order to ensure prompt payment of medical claims.
• Pursues and/or follow up on appeals.
• Initiates communication with the coding team and clinical staff when coding-related, and medical necessity appeals are warranted.
• Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.
• Remains open-minded with change: maintains performance during the period(s) of change and understands changes in tasks and/or environment as well as the basis for change Possesses ability to professionally communicate (in all forms) with payer resources such as website, e-mail, telephone, customer service departments, etc.
• Possesses a cooperative and positive attitude toward clients, management, and co-workers by responding politely and professionally and being a valued team player.
• Ability to meet departmental standard for quality and productivity.

Requirements:

• Must have a minimum of 3 years’ experience in a Customer Service call Center environment with a focus on healthcare billing/collections or collection agency environment or 3 years’ experience working in a client service or marketing capacity, preferably in a healthcare or collection agency environment.
• General hospital A/R accounts knowledge is required.
• PC skills in a Windows environment are required.
• Solid knowledge and utilization of desktop applications including Word and Excel are essential.
• College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.

Mohammad Hassan- Healthcare Recruiter
Office: 301-474-9600 Ext: 309 || Text: 410-775-5481

Job Type: Contract

Salary: $18.00 - $23.00 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Houston, TX 77008: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• Medical billing (Required)
• Medical collection (Required)
• Patient Account Specialist (Required)

Work Location: One location

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