Patient Account Specialist Senior- Onsite - Only local candidates
Temp to Perm
Education doc is not required for the submission
Monday-Friday 8 hours
Location - 2702 North Loop West, Houston, TX 77008
Requirements: Hospital Billing; UB04s, Appeals, Corrected claims, Payer experience
Healthcare exp is a must have in recent jobs with min 3 years of experience
JOB 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 to 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 unites are expected to knave knowledge of the overall collection work processes for both active AR and BD inventory.
MAJOR JOB RESPONSIBILITIES • Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives
• Documents and updates patient account information in TLRA’s collection software system timely and accurately 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.
• Performs other special projects
Requirements: Hospital Billing; UB04s, Appeals, Corrected claims, Payer experience
Patient Account Specialist Senior- Onsite
CHRISTUS Corp Lake Charles TLRA Office- 1600 Foster Street, , Lake Charles, LA, 70601
Monday-Friday 8 hours
Experience with hospital Insurance claims, follow up and denials/resolutions. Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment.
Summary: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. Responsibilities: Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle. Provide excellent customer service to market personnel, insurance carrier representatives and patients. Document all follow-up efforts in practice management system. Assists with patient education concerning insurance plan. Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality. Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control. Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health’s cultural diversity objectives. Supports and adheres to CHRISTUS Health Service Guarantee. Performs all other duties as assigned. Requirements: High school diploma or equivalent; college course work a plus. Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. Responsibilities: Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle. Provide excellent customer service to market personnel, insurance carrier representatives and patients. Document all follow-up efforts in practice management system. Assists with patient education concerning insurance plan. Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality. Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control. Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health’s cultural diversity objectives. Supports and adheres to CHRISTUS Health Service Guarantee. Performs all other duties as assigned. Requirements: High school diploma or equivalent; college course work a plus. Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
Responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as, cash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. In doing so, ensures that all claims billed and collected meets all government mandated procedures for Integrity and Compliance. Performs billing, collections and reimbursement services in a prompt and efficient manner. Provides thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documents, forwards, resolves incoming mail and correspondence. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission if related to diagnosis, charge and/or other clinical type data that RCBS would not have knowledge of. Ensures all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000.
MAJOR JOB RESPONSIBILITIES • Ensures daily productivity standards are met and daily EOB'S, reports and appeal files are cleared with in 48 hours of receipt (allowing for weekends and holidays) • Log IPOs as issues arise and report during shift briefing
Minimum QualificationsCash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals
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