Patient Account Specialist Senior

Patient Account Specialist Senior

Role Summary

Take a senior-level seat in a high-performing medical collections unit where your expertise directly impacts the financial health of a premier healthcare system. As a Senior Patient Account Specialist, you will navigate the complexities of insurance reimbursement, identifying and resolving denied or underpaid claims with precision and speed. This role is perfect for a detail-oriented professional who enjoys solving financial puzzles and advocating for proper reimbursement through professional communication with payers, patients, and vendors. You will be a key contributor to maintaining the structural integrity of the accounts receivable process while ensuring world-class patient and client satisfaction.

Key Duties:

• Revenue Recovery: Collect outstanding balances from commercial, governmental, and third-party payers to ensure full and proper reimbursement for medical services.

• Claims Resolution: Proactively identify denied or underpaid claims, implementing timely solutions and appeals within specific payer guidelines.

• Knowledge Leadership: Maintain an expert-level understanding of payer claims processing, appeal procedures, provider contracts, and various payment methodologies.

• Technical Proficiency: Utilize a deep understanding of standard billing forms, filing requirements, and Explanation of Benefits (EOB) while navigating online payer portals.

• Trend Analysis: Identify and communicate recurring issues or industry trends that impact account resolution and overall reimbursement efficiency.

• Comprehensive Account Management: Manage both active Accounts Receivable (AR) and Bad Debt (BD) inventory, ensuring all documentation is accurate and compliant with state and federal guidelines.

• Stakeholder Collaboration: Facilitate professional communication with patients, clients, and reimbursement vendors to resolve complex account issues.

Required Qualifications

• Experience: Strong professional background as a medical collection specialist with a proven track record of resolving complex healthcare accounts.

• Skills: Expert knowledge of medical collection work processes and insurance reimbursement cycles.

• Compliance: Ability to adhere strictly to all client, state, and federal collection guidelines.

• Medical Requirements: Must complete all required medical screenings prior to start.

Desired Qualifications

• Communication: Exceptional interpersonal skills with the ability to manage conflict and provide a high level of patient and client satisfaction.

• Analytical Ability: Strong skills in identifying reimbursement trends and navigating various payer payment methodologies.

• System Knowledge: Familiarity with TLRA collection unit processes or similar large-scale hospital billing systems.

Location and Work Type

• Setting: Hospital Corporate Office / TLRA Collection Unit

• Work Type: On-site

• Location: Lake Charles, LA

• Schedule: Monday – Friday (8-hour shifts)

• Education Note: High School Diploma/GED verification is no longer required for this specific role.

If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!