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Patient Accounts Specialist

Premier Medical Resources
  • Texas
    12 days ago

    Job Description

    Revenue Cycle Management is looking for a full-time Patient Accounts Specialist to join our team!

    SUMMARY: The Patient Accounts Specialist is responsible for managing and monitoring patient accounts after insurance claims have been finalized and ensuring the timely and accurate resolution of outstanding balances. This position analyzes accounts, identifies and resolves billing discrepancies, coordinates with internal departments, and communicates with patients regarding their financial responsibility. The Specialist ensures accurate account resolution while providing exceptional customer service and maintaining compliance with organizational policies and regulatory requirements. 

    ESSENTIAL FUNCTIONS:  
    • Review or analysis an account to determine true patient responsibilities, insurance, contractual obligations or other responsible parties or outstanding balances 
    • Initiates contact with patients who have past-due balances to facilitate timely payment. 
    • Collaborates with internal personnel and external parties to resolve discrepancies in accounts. 
    • Interprets department policies and procedures, providing guidance to personnel, patients, and family members as necessary. 
    • Processes and post patient payments daily to ensure account balances accurately reflect the current amount due. 
    • Researches and processes all refund requests in compliance with insurance contractual obligations, as well as state and federal laws. 
    • Maintains the confidentiality of all medical records and patient information in compliance with HIPAA, organizational policies, and applicable federal and state regulations. 
    • Promotes positive patient relations by communicating with patients and their families in a professional, courteous, and respectful manner that demonstrates respect for the dignity of every individual. 
    • Handles inbound and outbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests 
    • Provides support to the Account Recovery Specialist team in achieving departmental goals. 
    • Performs other related tasks as needed. 
    KNOWLEDGE, SKILLS, AND ABILITIES: 
    • Demonstrates critical thinking skills, ability to organize and resolve outstanding delinquencies. 
    • Demonstrates decision-making skills based on accurate information and/or analysis of data. 
    • Strong communication skills and problem-solving skills. 
    • Solid knowledge of medical terminology, technical job knowledge, CPT codes, ICD-10 codes and procedures. 
    • Ability to adapt and work effectively in a fast-paced environment. 
    • Proficient use of Microsoft Office suite including World, Outlook, and strong Excel skills.
    EDUCATION AND EXPERIENCE: 
    • High School Diploma or GED 
    • One (1) year of experience in billing collections in a hospital setting
    BENEFITS: 
    • 3 Medical Plans
    • 2 Dental Plans
    • 2 Vision Plans
    • Employee Assistance Program
    • Short- and Long-Term Disability Insurance
    • Accidental Death & Dismemberment Plan
    • 401(k) with a 2-year vesting
    • PTO + Holidays
     
    Please visit our website for more information:
    www.pmr-healthcare.com
     
    Premier Medical Resources     is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
     
    Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.
     
     

    Numbers & Facts

    LocationTexas
    Websitehttps://www.pmr-healthcare.com

    Skills

    • Accidental Death and Dismemberment (AD&D)unmatched
    • Analysis Skillsunmatched
    • Best Practicesunmatched
    • Communication Skillsunmatched
    • Contract Requirementsunmatched
    • Credit and Collectionsunmatched
    • Current Procedural Terminology (CPT)unmatched
    • Customer Support/Serviceunmatched
    • Data Analysisunmatched
    • Dental Insuranceunmatched
    • Disability Insuranceunmatched
    • Employee Assistance Planunmatched
    • Federal Laws and Regulationsunmatched
    • Financial Managementunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Health Planunmatched
    • Healthcare Managementunmatched
    • High School Diplomaunmatched
    • ICD-10unmatched
    • Insuranceunmatched
    • Insurance Claimsunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Medical Billingunmatched
    • Medical Recordsunmatched
    • Medical Terminologyunmatched
    • Microsoft Excelunmatched
    • Microsoft Officeunmatched
    • Microsoft Outlookunmatched
    • Past Due Accountsunmatched
    • Patient Confidentialityunmatched
    • People Managementunmatched
    • Problem Solving Skillsunmatched
    • Reconciliationunmatched
    • Regulatory Requirementsunmatched
    • Revenue Managementunmatched
    • State Laws and Regulationsunmatched
    • Time Managementunmatched
    • Vision Planunmatched

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