Job Details

Title: Patient Account Specialist, Sr.

Description: Our client is looking for a Patient Account Specialist, Sr. to provide medical collection services for TLRA collection units.

What You Will Do:

• Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection.
• Perform collection activities related to follow-up and account resolution, and includes communication to patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines.
• Utilize and apply 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 initiate calls in order to ensure prompt payment of medical claims.
• Pursues and/or follow-up on appeals.
• Initiates communication with coding team and clinical staff when coding related, and medical necessity appeals are warranted.
• Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments.
• Makes recommendations for resolution.

• You have an impeccable customer service-oriented attitude and prioritize patient and client satisfaction.
• Knowledge of the overall collection work process for both active AR and Client inventory.
• Possess thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process.
• You are open-minded and adaptable to change. You can maintain performance during periods of change and understand changes in task and/or environment as well as the basis for change.
• Possesses ability to professionally communicate (in all forms) with payer resources such as: website, 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.

• 3+ years of experience in a Customer Service Call Center environment with a focus on healthcare billing and collections required.
• General hospital A/R accounts knowledge required.
• PC skills in a Windows environment
• Solid knowledge and utilization of desktop applications including Word and Excel.