7958119 - Senior Patient Account Specialist | Jobs with Virtelligence

7958119 - Senior Patient Account Specialist Cancelled

Location: Houston, Texas Country: United States
Published Date: 02-06-2024  
Rose Murphy

Rose Murphy is recruiting this position.

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Job Description

  • 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 BD 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.
  • Must have minimum of 3 years’ experience in a Customer Service call enter 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 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.
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  • Company Job ID:
  • Skills

    Healthcare Billing/collections: 0

    Windows Desktop Applications: 0

    MS Office (Word Excel: 0