JOB TITLE: Senior Patient Account Specialist

LOCATION: Texas/USA

VISA TYPE: GC/USC

Job Mode: On-site

Note-

Must be willing to work under W2 or 1099
Max bill rate: $18 PH
Orientation billable at 70% of the bill rate up to the first 36 hours

Job Summary:

We are seeking a skilled Medical Collection Specialist to join our TLRA collection units. In this role, you will manage the collection of outstanding balances from commercial, governmental insurance, and third-party payers, ensuring accurate reimbursement for all services provided. Your expertise will be crucial in identifying denied or underpaid claims, resolving these issues efficiently, and adhering to payer guidelines. Your responsibilities will also include interacting with patients, clients, reimbursement vendors, and other external parties, all while following client, state, and federal regulations. Maintaining high patient and client satisfaction is a key aspect of this position.

Job Responsibilities:

Collections Management: Collect outstanding balances from commercial, governmental, and third-party payers to ensure correct reimbursement for all services rendered.
Claims Resolution: Identify denied or underpaid claims and work to resolve these issues in a timely manner, in compliance with payer guidelines.
Knowledge Maintenance: Stay up-to-date with payer claims processing, appeal procedures, provider contracts, and various payment methodologies.
Documentation and Resources: Understand and use standard billing forms, explanation of benefits, and online payer portals and resources.
Issue Identification: Detect and report issues and trends affecting account resolution and reimbursement.

Expectations:

Utilize your expertise in medical collections to effectively resolve accounts assigned to TLRA for collection.
Conduct follow-up and account resolution activities, communicating with patients, clients, reimbursement vendors, and other external entities.
Ensure adherence to all client, state, and federal guidelines throughout the collection process.
Demonstrate comprehensive knowledge of collection processes for both active accounts receivable and bad debt inventory.

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Expected hours: 48 per week

Schedule:

8 hour shift

Application Question(s):

Are you a USA citizen?
Do you have knowledge of the overall collection work processes for both active AR and BD inventory?

Work Location: In person

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Patient Account Specialist Senior-TLRA Insurance