Senior Patient Account Specialist
Senior Patient Account Specialist
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Job Description
Summary:
- Provides medical collection services for TLRA collection units leveraging a strong background as a medical collection specialist to successfully resolve accounts placed for collection. This role involves performing collection activities related to follow-up and account resolution including communication with patients clients reimbursement vendors and other external entitieswhile adhering to all client state and federal guidelines. A strong emphasis is placed on patient and client satisfaction.
- Associates in the collection units are expected to have a solid understanding of overall collection processes for both active accounts receivable (AR) and bad debt (BD) inventory. Possesses a thorough understanding of the hospital revenue cycle with a specialization in hospital billing follow-up and the account resolution process.
Key Responsibilities:
Utilize industry knowledge to resolve aged accounts receivable across a variety of account types including hospital and/or professional claims governmental and/or non-governmental claims denied claims and high-priority accounts.
Manage multiple work queues for follow-up and denials through payor website engagement and outbound calls to ensure timely medical claim payments.
Pursue and follow up on appeals initiating communication with coding teams and clinical staff for coding-related or medical necessity appeals.
Identify denial trends and escalate to Supervisor and/or Manager to prevent future issues and payment delays providing recommendations for resolution.
Adapt positively to change maintaining performance through transitions and understanding changes in tasks environment or policies.
Communicate professionally and effectively with payer resources including websites email telephone and customer service departments.
Demonstrate a cooperative and positive attitude with clients management and colleagues by maintaining professionalism and teamwork.
Meet departmental standards for quality and productivity.
Requirements:
Minimum of 3 years of experience in a customer service call center environment focused on healthcare billing/collections or within a collection agency.
Alternatively 3 years of experience in client service or marketing preferably in healthcare or collections.
General knowledge of hospital accounts receivable processes is required.
Proficient in PC use within a Windows environment; strong working knowledge of Microsoft Word and Excel.
College education prior insurance company claims experience and/or healthcare billing trade school education may be considered in lieu of formal hospital experience.
Required Experience:
Senior IC
Employment Type
Contract
