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Form of workJob Description
8025498Patient Account Specialist Senior, Houston TX, 12 Weeks Temp to Permanent
Sigma Inc is currently looking for a Patient Account Specialist Senior to work onsite with our team in Houston, TX.
Shift Timings: 8 AM - 5 PM, Monday - Friday
Summary :
Sigma Inc is currently looking for a Patient Account Specialist Senior to work onsite with our team in Houston, TX.
Shift Timings: 8 AM - 5 PM, Monday - Friday
Summary :
- Provides medical collection services for TLRA collection units.
- Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection.
- This involves performing collection activities related to follow-up and account resolution, and includes communication to 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 unites are expected to knave knowledge of the overall collection work processes for the both active AR and Client inventory.
- Possesses 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 initiate calls in order to ensure prompt payment of medical claims.
- Pursues and/or follow-up on appeals.
- Initiates communication with 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 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.
- HS Diploma or equivalency required.
- Hospital Billing; UB04s, Appeals, Corrected claims, Payer experience is required.
- Must have minimum of 3 years' experience in a Customer Service call enter environment with a focus on Physician 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 to include 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.
