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Staffactory LLC is seeking a Patient Account Specialist Senior on-site in Lake Charles, LA to manage medical collections with both commercial and governmental payers. The role emphasizes timely resolution of underpaid or denied claims and adherence to payer guidelines and TLRA standards.
The position runs from January 19, 2026 through April 11, 2026, with a daily schedule of 8 hours, Monday to Friday, starting at 8:00 AM and ending at 5:00 PM.
No longer require HS/GED verification
Monday-Friday 8 hours
Collections Insurance
Collects balances due from commercial and/or governmental insurance and third-party payers ensuring proper reimbursement for all services.
Identifies denied or underpaid claims and dedicates efforts to ensure proper resolution and timely turnaround within payer guidelines.
Maintains active, working knowledge of payer claims processing and appeal procedures, provider contracts with insurances and third-party payers, and different payment methodologies.
Demonstrates knowledge of standard bill forms and filing requirements, explanation of benefits, and online payor portals and resources.
Identifies and communicates issues and trends impacting account resolution and reimbursement.
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 with 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 units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Meets expectations of the applicable client's Competencies: Leader of Self, Leader of Others, or Leader of Leaders. 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 a