ACCOUNTS RECEIVABLE SPECIALIST - PATIENT FINA

PSN Services LLC-posted 2 days ago

Full-time • Mid Level

Plano, TX

501-1,000 employees

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The AR Specialist - Patient Financial Engagement will oversee patient accounts receivable management and early out collection strategies across our surgical facilities specializing in spine, orthopedic, ENT, and pain management procedures. This role is responsible for optimizing patient collections through proactive financial engagement, managing front-end collection processes, and ensuring timely patient communication throughout the revenue cycle. The ideal candidate will develop and implement strategic follow-up protocols, oversee statement processing timelines, and work collaboratively with registration, financial counseling, and billing teams to maximize patient collections while maintaining a compassionate, patient-centered approach. This position is critical to reducing bad debt, improving patient satisfaction scores related to billing, and accelerating cash flow from self-pay and patient responsibility balances.

Manage surgical workers' comp claims from authorization through payment - Track all workers' compensation surgical cases from initial scheduling through final reimbursement
Collaborate with Verification of Benefits team - Assist in reviewing compensability determinations, confirming active claim status, and identifying red flags that could impact payment
Partner with coding team on documentation - Review operative reports and clinical documentation to ensure medical necessity is clearly established and services are appropriately coded
Expedite claim resolution - Proactively follow up on unpaid claims and work directly with adjusters to resolve payment delays
Build strategic relationships with adjusters at major carriers to facilitate faster claim processing
Coordinate with nurse case managers to ensure surgical procedures are properly authorized
Engage with employer representatives when appropriate to clarify coverage issues or expedite approvals
Serve as facility liaison - Act as primary point of contact for all workers' compensation stakeholders
Maximize reimbursement under Texas fee schedules for surgical procedures, implants, and ancillary services
Appeal underpayments and denials - Identify payments below fee schedule requirements or incorrect surgical reimbursement calculations
Manage stop-loss and outlier provisions for high-cost surgical cases
Track implant and device costs - Ensure proper billing for surgical implants, biologics, and high-cost medical devices
Oversee early out program effectiveness - Monitor and optimize patient collection strategies within the first 120 days of service
Manage patient AR aging buckets - Focus on 0-30, 31-60, and 61-90 day accounts to prevent progression to bad debt
Implement strategic follow-up protocols - Design tiered communication strategies based on balance size, patient payment history, and procedure type
Track and reduce patient AR days - Maintain aggressive targets for self-pay and patient responsibility collections
Coordinate with third-party early out vendors - Manage vendor performance and ensure compliance with collection standards
Develop point-of-service collection protocols - Create scripts and processes for registration staff to collect copays, deductibles, and deposits
Train front desk staff on financial conversations - Ensure staff can confidently discuss estimates, payment options, and financial policies
Monitor POS collection rates by location and staff member - Identify coaching opportunities and best practices
Implement pre-service financial clearance processes - Ensure patients understand financial responsibility before elective procedures
Oversee upfront deposit collection for high-dollar surgical procedures
Ensure timely statement generation - Monitor statement cycles to guarantee first statements within 5 days of claim adjudication
Design patient-friendly billing statements - Work with vendors to create clear, easy-to-understand statements
Implement multi-channel communication strategies - Utilize text, email, phone, and portal messaging for patient outreach
Develop automated reminder campaigns - Create touchpoints at key intervals (pre-service, post-service, pre-due date)
Manage patient portal adoption for online payments and payment plan enrollment
Create balance-based collection strategies - Different approaches for small balance (<$500) vs. large balance accounts
Implement propensity-to-pay scoring - Prioritize accounts based on likelihood of payment
Design compassionate collection scripts - Balance revenue needs with patient sensitivity
Develop escalation pathways - Clear protocols for when to offer payment plans, discounts, or financial assistance
Coordinate warm handoffs to financial counselors for high-balance accounts
Manage payment plan programs - Oversee automated payment plan setup and monitoring
Coordinate prompt pay discount programs - Track utilization and revenue impact
Process financial assistance applications - Ensure timely review and determination
Partner with third-party financing vendors - Manage relationships with CareCredit, AccessOne, or similar programs
Monitor charity care and presumptive eligibility screening processes
Track key performance indicators - Patient collection rate, POS collection rate, statement-to-payment conversion
Analyze payment patterns - Identify optimal timing and methods for patient engagement
Report on early out program effectiveness - ROI analysis and vendor performance metrics
Monitor patient satisfaction scores related to billing experience
Identify process improvement opportunities through data analysis
Partner with Patient Access teams on upfront collections and estimates
Work with Insurance Verification on patient responsibility calculations
Coordinate with Customer Service on payment-related inquiries and disputes
Collaborate with IT on patient portal enhancements and automation tools
Support Clinical teams with financial clearance for scheduled procedures

Excellent interpersonal skills - Ability to have sensitive financial conversations with empathy and professionalism
Strong analytical capabilities - Interpret collection data and identify trends/opportunities
Technology proficiency - Experience with patient engagement platforms, automated dialers, and payment portals
Project management skills - Ability to implement new collection strategies and monitor results
Training and coaching abilities - Develop staff capabilities in financial conversations
Detail-oriented approach to payment posting and account reconciliation
Understanding of healthcare billing, insurance EOBs, and patient responsibility calculations
Knowledge of Fair Debt Collection Practices Act (FDCPA) and healthcare collection regulations
Ability to balance revenue optimization with patient satisfaction and regulatory compliance
Strong written communication for developing patient letters and scripts
Experience with self-pay scoring models and segmentation strategies
Minimum 3-5 years of patient account management or healthcare collections experience
Proven success improving patient collection rates and reducing AR days
Experience with early out programs and vendor management
Knowledge of front-end revenue cycle processes and point-of-service collections
Understanding of payment plan administration and financial assistance programs
Experience with patient statement vendors and communication platforms

Experience in surgical facilities or specialty practices with high-dollar procedures, preferred
Certification in Healthcare Financial Management (CHFP) or Revenue Cycle (CRCR), preferred
Knowledge of automated payment posting and reconciliation systems, preferred
Experience with predictive analytics and propensity-to-pay modeling, preferred
Bilingual capabilities (English/Spanish) for diverse patient populations, preferred
Background in customer service or patient advocacy, preferred
Experience implementing patient financing programs, preferred

Competitive salary and performance incentives
Comprehensive benefits package
Paid time off and wellness programs
Career development and training opportunities

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