Patient Account Specialist Senior

Houston, MS - USA

Monthly Salary: Not Disclosed

Posted on: 4 days ago

Vacancies: 1 Vacancy

Job Summary

Patient Account Specialist Senior - ONSITE
Houston TX 77092

04/13/26 to 07/04/26
Monday-Friday

No longer require HS/GED
**Must have: Medical billing & collections with account resolution in a hospital setting. Insurance verification Experience with Epic and Meditech**

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 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 knave knowledge of the overall collection work processes for both active AR and BD inventory.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self Leader of Others or Leader of Leaders.
Provides effective collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRAs business objectives.
Understands and adheres to all policies and procedures as well as local state and federal regulations relevant to their area of operation.
Documents and updates patient account information in TLRAs collection software system timely and accurate to include appropriate account status.
Handles inbound patient and/or carrier calls promptly and professionally providing assistance and resolution to account inquiries issues and request.
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
Performs research and analysis of account issues and strives to resolve problems timely and accurately. Ensure daily productivity standards are met.
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
Thorough understanding of Medicare/Medicaid guidelines and procedures for billing collections and appeals.
Understanding and exposure to Medicare Recovery Audit Contractor.
Knowledgeable in locating and referencing CMS and/or Medicare Regulations.
General hospital A/R accounts knowledge is required.
Solid knowledge and utilization of desktop applications including Word and Excel are essential.
Performs other special projects as required when assigned. Collections Traditional Government Insurance Maintains active knowledge of all collection requirements by payors.
Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices.
Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
Ensures established quality standards are met and proper documentation regarding patient accounting records.
Contact other departments to obtain necessary information for appeals pending information and any other issues that impact and/or delay claim processing.
Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRAs business objectives.
Validates claim payments to ensure claims are paid according to contract and/or payment methodology guidelines.
Correct claims in RTP status in either CCSM or DDe per Medicare guidelines.
Initiate Medicare Redetermination Reopening and/or Reconsideration as needed.

Job Requirements:

Experience 5 7 years of experience preferred. Experience with the Medicare billing process.
College education previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.

Licenses Registrations or Certifications

None required.

Work Schedule:

5 Days - 8 Hours

Patient Account Specialist Senior - ONSITE Houston TX 77092 04/13/26 to 07/04/26 Monday-Friday No longer require HS/GED **Must have: Medical billing & collections with account resolution in a hospital setting. Insurance verification Experience with Epic and Meditech** Summary: Provides medical ...

Patient Account Specialist Senior - ONSITE
Houston TX 77092

04/13/26 to 07/04/26
Monday-Friday

No longer require HS/GED
**Must have: Medical billing & collections with account resolution in a hospital setting. Insurance verification Experience with Epic and Meditech**

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self Leader of Others or Leader of Leaders.
Provides effective collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRAs business objectives.
Understands and adheres to all policies and procedures as well as local state and federal regulations relevant to their area of operation.
Documents and updates patient account information in TLRAs collection software system timely and accurate to include appropriate account status.
Handles inbound patient and/or carrier calls promptly and professionally providing assistance and resolution to account inquiries issues and request.
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
Performs research and analysis of account issues and strives to resolve problems timely and accurately. Ensure daily productivity standards are met.
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
Thorough understanding of Medicare/Medicaid guidelines and procedures for billing collections and appeals.
Understanding and exposure to Medicare Recovery Audit Contractor.
Knowledgeable in locating and referencing CMS and/or Medicare Regulations.
General hospital A/R accounts knowledge is required.
Solid knowledge and utilization of desktop applications including Word and Excel are essential.
Performs other special projects as required when assigned. Collections Traditional Government Insurance Maintains active knowledge of all collection requirements by payors.
Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices.
Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
Ensures established quality standards are met and proper documentation regarding patient accounting records.
Contact other departments to obtain necessary information for appeals pending information and any other issues that impact and/or delay claim processing.
Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRAs business objectives.
Validates claim payments to ensure claims are paid according to contract and/or payment methodology guidelines.
Correct claims in RTP status in either CCSM or DDe per Medicare guidelines.
Initiate Medicare Redetermination Reopening and/or Reconsideration as needed.

Job Requirements:

Experience 5 7 years of experience preferred. Experience with the Medicare billing process.
College education previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.

Licenses Registrations or Certifications