Patient Account Specialist Senior

TEEMA; Lake Charles (LA); On-site; USD 55,000 - 75,000; Full time

Job summary

TEEMA is seeking a Senior Patient Account Specialist for a hospital client in Lake Charles, LA. You will drive revenue recovery, resolve denied or underpaid claims, and ensure proper reimbursement through professional communication with payers, patients, and vendors.

Work on-site at the Hospital Corporate Office / TLRA Collection Unit, Monday–Friday, 8-hour shifts. A High School Diploma/GED verification is no longer required for this role, and you will leverage payer portals and EOB knowledge.

Qualifications

• Experience as a medical collection specialist with a proven track record of resolving healthcare accounts.
• Expert knowledge of medical collection work processes and insurance reimbursement cycles.
• Ability to adhere to client, state, and federal collection guidelines.
• Must complete all required medical screenings prior to start.

Responsibilities

• Revenue Recovery: Collect outstanding balances from commercial, governmental, and third-party payers to ensure full reimbursement for medical services.
• Claims Resolution: Identify denied or underpaid claims and implement timely solutions and appeals per payer guidelines.
• Knowledge Leadership: Maintain expert understanding of payer claims processing, appeals, provider contracts, and payment methodologies.
• Technical Proficiency: Navigate standard billing forms, filing requirements, and EOBs via payer portals.
• Trend Analysis: Identify recurring issues or trends affecting resolution and reimbursement efficiency.
• Comprehensive Account Management: Manage active AR and Bad Debt inventory with compliant documentation.
• Stakeholder Collaboration: Communicate with patients, clients, and reimbursement vendors to resolve complex issues.

Skills

Medical collections

Payer communication

Compliance knowledge

Job description

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.