Patient Accounts Specialist (Facilities)

Premier Medical Resources; Houston (TX); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical plans

Dental plans

Vision plans

Employee assistance

Disability insurance

401(k) vesting

PTO holidays

Job summary

Premier Medical Resources in Houston, TX is seeking a full-time Patient Accounts Specialist to manage and monitor patient accounts after insurance claims are finalized.

You will analyze accounts, resolve billing discrepancies, post payments daily, and communicate with patients about their financial responsibility, while upholding HIPAA and company policies.

Prior hospital billing experience is preferred; a High School diploma is required; the role offers comprehensive benefits and career growth.

Qualifications

• High school diploma or GED.
• At least 1 year billing/collections experience in a hospital setting.

Responsibilities

• Review accounts to determine patient responsibilities and balances.
• Contact patients with past-due balances to facilitate payment.
• Collaborate with internal/external parties to resolve account discrepancies.
• Interpret policies and provide guidance to staff and patients.
• Post patient payments daily to reflect current balances.
• Process refund requests per contracts and laws.
• Maintain HIPAA compliance for patient records.
• Communicate professionally to maintain positive patient relations.
• Handle inbound/outbound calls; resolve inquiries.
• Support Account Recovery Team to meet goals.
• Perform other related tasks as needed.

Skills

Critical thinking

Communication skills

Problem-solving

Medical terminology

CPT/ICD-10 knowledge

Microsoft Excel

Microsoft Word

Microsoft Outlook

Education

High School Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Premier Medical Resources 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 Assistant 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.