7912837 Patient Account Specialist Senior-Onsite, Lake Charles, LA 12 Weeks Contract
Sigma.Inc, is currently looking for a Patient Account Specialist Senior to work onsite with our team in Lake Charles, LA.
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 Client inventory.
Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA's business objectives Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to their area of operation.
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 as required when assigned. Collections Traditional Government Insurance Maintains active knowledge of all collection requirements by payors.
Collects balance owing from third party payers in accordance with State and Federal laws governing collections practices.
Ensures that collection efforts are thorough with overall objective being to collect outstanding balances in an ethical manner. Ensures established quality standards are met and proper documentation regarding patient accounting records.
Contacts other departments to obtain necessary information for appeals, pending information and any other issues that impact and/or delay claim processing.
Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA's business objectives.
Validates claim payments to ensure claims are paid according to contract and/or payment methodology guidelines. Correct claims in RTP status in either CCSM or DDe per Medicare guidelines.
Initiate Medicare Redetermination, Reopening, and/or Reconsideration as needed.
Requirements:
Must have minimum of 3 years' experience with Medicare/Medicaid insurance billing, collections, payment, and reimbursement verification and/or refunds.
Experience with hospital insurance claims follow up/denial resolution.
Experience with the Medicare billing process Thorough understanding of Medicare/Medicaid guidelines and procedures for billing, collections, and appeals.
Understanding and exposure to Medicare Recovery Audit Contractor Knowledgeable in locating and referencing CMS and/or Medicare Regulations General hospital A/R accounts 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.
Numbers & Facts
Location
Lake Charles, LA
Skills
Accounts Receivableunmatched
Billingunmatched
Centers for Medicare and Medicaid Services (CMS)unmatched
Claims Processingunmatched
Credit and Collectionsunmatched
Customer Satisfactionunmatched
Desktop PCunmatched
Direct Data Entryunmatched
Documentationunmatched
Exceeded Sales Goalunmatched
Federal Laws and Regulationsunmatched
Governmentunmatched
Hospitalunmatched
Insuranceunmatched
Insurance Claimsunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Recordsunmatched
Medicareunmatched
Microsoft Excelunmatched
Microsoft Wordunmatched
Problem Solving Skillsunmatched
Quality Metricsunmatched
Realtime Transport Protocolunmatched
Regulationsunmatched
Reimbursementunmatched
Set Goalsunmatched
State Laws and Regulationsunmatched
Team Playerunmatched
Third-Party Payerunmatched
Time Managementunmatched
🎯
Be found by employers
5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.