Recruiter Submission Template

Patient Account Specialist SeniorLocation: 1600 Foster Street, Lake Charles, LA 70601 Employment Type: Contractor – Onsite Openings: 1 Duration: 91 DaysSchedule: Monday–Friday, 8 hours/dayEducation Requirement: HS/GED NOT requiredMedical Requirements: Required (per client process)Skills: Collections, Insurance, UB-04, HCFA-1500, Reimbursement, Denials, Billing, Hospital Revenue Cycle, AR, TLRAThe Patient Account Specialist Senior is responsible for performing advanced collection activities to ensure accurate and timely reimbursement from commercial, governmental, and third-party payers. This role requires strong knowledge of inpatient and outpatient billing (UB-04, HCFA-1500), insurance claims processing, denial management, payer guidelines, and reimbursement methodologies. The specialist works extensively with multi-facility hospital billing, payer portals, and TLRA collections workflows. This role requires a high level of professionalism, accuracy, communication skills, and adherence to federal, state, and client-specific collection requirements.Key ResponsibilitiesInsurance & Third-Party CollectionsCollect balances from commercial, governmental, and third-party payers following payer-specific processes.Work inpatient and outpatient billing using UB-04 and HCFA-1500 billing forms.Identify denied or underpaid claims and resolve them within payer turnaround guidelines.Maintain in-depth knowledge of payer contracts, claim processing rules, reimbursement methodologies, and appeal procedures.Review EOBs and ensure correct interpretation for proper payment application.Denials & ResolutionResearch, appeal, and resolve claim denials and underpayments.Track trends causing recurring denials or delays in reimbursement.Communicate identified issues and recurring payer barriers to leadership.TLRA Collection Unit ResponsibilitiesPerform collection activities for accounts placed in TLRA inventory (both active AR and Client).Communicate professionally with patients, clients, vendors, and external reimbursement partners.Follow all TLRA, client, state, and federal regulations governing healthcare collections.Documentation & ComplianceDocument all interactions, findings, and actions thoroughly and accurately in the appropriate systems.Maintain compliance with OneCHRISTUS competencies: Leader of Self, Leader of Others, and Leader of Leaders.Handle sensitive financial information with confidentiality and professionalism.Required Qualifications & SkillsExperience in a multi-facility hospital business office environment (required).Experience with inpatient & outpatient billing using UB-04 and HCFA-1500 forms.Insurance collections experience required.Strong knowledge of payer claim processing, appeals, and reimbursement models.Ability to use payer portals and interpret EOBs.Strong communication skills and ability to work with patients and external partners.Experience working with AR collections and TLRA processes preferred.Strong documentation accuracy and attention to detail.