Patient Account Specialist Senior-Onsite

Patient Account Specialist Senior Houston, TX

Sigma Inc. is seeking an experienced Patient Account Specialist Senior to join our team in Houston, TX. This position is ideal for a healthcare revenue cycle professional with strong experience in medical billing, collections, account resolution, insurance verification, and hospital patient accounts.

The successful candidate will be responsible for resolving outstanding patient accounts, communicating with patients and insurance carriers, documenting account activity, and ensuring collections are handled accurately and in accordance with applicable client, state, and federal requirements.

Key Responsibilities

• Perform medical billing and collection activities for patient accounts placed for collection.
• Follow up on outstanding accounts and determine appropriate account resolution strategies.
• Communicate professionally with patients, insurance carriers, clients, reimbursement vendors, and other external parties.
• Handle inbound patient and carrier calls and provide timely assistance with billing and account-related questions.
• Research account information and resolve discrepancies, payment issues, and outstanding balances.
• Verify insurance coverage and investigate reimbursement-related issues.
• Maintain accurate and timely documentation of collection activity and account status in the collection system.
• Utilize available collection tools and resources to maximize account recovery.
• Manage both active accounts receivable (AR) and client inventory according to established processes.
• Ensure collection activities comply with client requirements and applicable state and federal regulations.
• Meet or exceed established productivity, quality, collection, and performance goals.
• Maintain a high level of patient and client satisfaction while resolving account issues.
• Demonstrate the appropriate OneCHRISTUS competencies, including Leader of Self, Leader of Others, or Leader of Leaders, as applicable to the role.

Required Qualifications

• 35 years of experience in healthcare billing and collections or a collection agency environment.
• Required: Medical billing and collections experience with account resolution in a hospital setting.
• Experience with insurance verification.
• Hands-on experience with Epic.
• Hands-on experience with Meditech.
• Strong understanding of healthcare revenue cycle and patient account processes.
• Strong customer service and communication skills.
• Ability to handle sensitive patient and financial information professionally and confidentially.
• Strong attention to detail and accurate documentation skills.
• Ability to work independently in a high-volume environment and meet established performance goals.

Preferred Skills

• Hospital patient accounting experience
• Medical collections
• Patient account resolution
• Accounts receivable (AR)
• Insurance follow-up
• Denials and reimbursement issues
• Healthcare revenue cycle management
• Patient financial services
• Epic and Meditech experience
• Collection agency experience
• Account research and reconciliation
• High-volume call handling