Patient Account Specialist Senior-Onsite

9080508 Patient Account Specialist Senior-Onsite, Houston, TX, 3 Months Sigma Inc. is currently looking for a Patient Account Specialist Senior to work onsite with our team in Houston, TX. Shift Timings : Monday-Friday 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 have knowledge of the overall collection work processes for both active AR and Client inventory. Possesses a 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 initiating calls in order to ensure prompt payment of medical claims. Pursues and/or follows up on appeals. Initiates communication with the coding team and clinical staff when coding-related and medical necessity appeals are warranted. Identifies denial trends and notifies the 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 websites, 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 standards for quality and productivity. Requirements Must have a minimum of 3 years' experience in a Customer Service call center environment with a focus on healthcare billing/collections or a 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 account 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. #J-18808-Ljbffr Sigma Systems, Inc.