Patient Accounts Specialist

Premier Medical Resources; Houston (TX); Presencial; USD 42 000 - 64 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical plans

Vision plans

Employee Assistance Program

Disability insurance

401(k)

PTO + Holidays

Resumo da oferta

Premier Medical Resources is seeking a full-time Patient Accounts Specialist in Houston, TX to manage and monitor patient accounts after claims are finalized and resolve balances promptly. You will analyze accounts, correct discrepancies, communicate with patients, and ensure compliance with HIPAA and policies.

The role requires strong communication, attention to detail, and proficiency in medical terminology and CPT/ICD-10 coding. Experience in hospital billing and MS Office is preferred.

Qualificações

• High School Diploma or GED is required.
• Minimum 1 year of hospital billing/collections experience.
• Strong communication and problem-solving skills.
• Solid knowledge of CPT/ICD-10 codes and medical terminology.
• Proficient in Microsoft Office; accurate data entry and analysis.

Responsabilidades

• Review accounts to determine patient responsibilities and balances.
• Initiate contact with patients on past-due balances to collect payments.
• Collaborate with internal/external parties to resolve discrepancies.
• Post patient payments daily and reconcile balances.
• Process refunds in compliance with HIPAA and laws.
• Maintain confidentiality of patient information per regulations.
• Assist Account Recovery team to meet departmental goals.
• Handle inquiries from patients and carriers professionally.

Conhecimentos

Critical thinking

Decision making

Communication skills

Problem solving

Medical terminology

CPT/ICD-10 codes

Adaptability

MS Office (Word, Outlook, Excel)

Formação académica

High School Diploma or GED

Ferramentas

Microsoft Office

Word

Outlook

Excel

Descrição da oferta de emprego

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 havebeen 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 patientsregarding their financial responsibility. The Specialist ensures accurate account resolution while providing exceptionalcustomer 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 otherresponsible 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 asnecessary.
• 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 asstate 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 andresolution 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 Vision Plans
• Employee Assistance Program
• Short- and Long-Term Disability Insurance401(k) with a 2-year vesting
• PTO + Holidays

Please visit our website for more information:

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.