Overview
Retina Consultants of Texas (RCTX) is seeking a Patient Account Specialist to join our innovative team with the mission of Fighting Blindness for the World to See. The position will be responsible for providing excellent customer service in a fast‑paced clinic environment at The Woodlands Clinic. Candidates must be able to travel to various clinics to meet the needs of patients and providers, and support clinic hours Monday through Friday from 6:30 am to 6:30 pm. Schedules are provided weekly and vary with provider schedules.
RCTX is the largest and most respected retina‑only ophthalmology practice in the United States. Our group consists of 26 world‑renowned physicians and is equipped with state‑of‑the‑art retinal imaging, laser, and diagnostic capabilities. We call our culture “Retina Warriors” and emphasize the core values of Hard Work, Authentic Care, and Innovation.
Competitive Benefits (Full‑time eligible employees, 60‑day introductory period):
- Employee‑paid benefits: Medical, Dental, Vision, short‑term disability, voluntary life, accident, critical illness, hospital indemnity, pet insurance, HSA pre‑tax contributions, 401(k) (Roth and Traditional) starting on the date of hire.
- Employer‑paid benefits: Long‑term disability, $25,000 basic life insurance, 3 % 401(k) safe‑harbor contribution, HSA employer contributions, annual merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan gym membership, paid time off, 8 paid holidays + 1 floating holiday annually.
Pay rate: $18.00+ per hour with eligibility for overtime.
RCTX is an equal‑opportunity employer; all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, or genetic information.
Responsibilities
Job Summary: The Patient Account Specialist serves as a key liaison between patients, clinical teams, and revenue cycle operations, providing clear guidance on insurance coverage, billing practices, and payment options while maintaining accuracy, compliance, and timely resolution of outstanding balances.
- Conduct outbound calls to patients on outstanding balances.
- Review, analyze, and reconcile patient accounts, including copays, deductibles, and insurance balances.
- Provide clear explanations of financial responsibility and generate accurate estimates when applicable.
- Perform collection activities in accordance with RCA policies and regulatory guidelines.
- Address patient inquiries, complaints, and disputes with professionalism and a resolution‑focused approach.
- Identify discrepancies and coordinate resolution with internal teams (billing, coding, front office).
- Document all account activity thoroughly and maintain accurate, compliant records.
- Escalate complex or unresolved issues to the PAS Lead as appropriate.
- Meet or exceed assigned productivity and quality performance metrics (KPIs).
- Educate patients on billing processes, insurance coverage, and payment expectations.
- Offer and explain payment arrangements and financial assistance programs (MAP Program, hardship, etc.).
Qualifications
- Knowledge of healthcare billing, insurance processes, and revenue cycle operations.
- Strong communication and customer service skills with a patient‑centered approach.
- High attention to detail with strong analytical and problem‑solving abilities.
- Ability to manage multiple priorities in a fast‑paced environment.
- Proficiency with EMR and billing systems preferred.
- Effective conflict resolution and critical‑thinking skills.
- Strong organizational and time‑management abilities.
- Commitment to confidentiality, compliance, and accuracy in financial documentation.
Education
- High School diploma, GED, or equivalent.
- Bilingual Spanish speaker preferred, but not required.
Experience
- A minimum of 2 years of experience in accounts receivable, healthcare billing, or revenue cycle operations within a medical setting.
Physical Requirements
- Ability to lift up to 10 lbs.
- Prolonged periods of sitting.
- Frequent use of hands/wrists for computer work.
- Close visual acuity required for screen‑based tasks.
- Ability to travel between clinic locations as needed.
This description describes the essential job functions, supplemental functions, and essential requirements for the performance of this role. It is not an exhaustive list, and management may add or change duties at any time.