Patient Accounts Specialist (Facilities)

Premier Medical Resources•Houston, TX

1d•Onsite

About The Position

Revenue Cycle Management is looking for a Patient Accounts Specialist to join our team! This is a fully on-site position out of our admin building located in the 77040 zip code. The Patient Accounts Specialist is responsible for managing and monitoring patient accounts, ensuring timely resolution of outstanding balances, and contacting individuals with unpaid bills to facilitate payment. Under the guidance of the Supervisor, Patient Access, this role requires diligent follow-up, accurate account management, and effective communication with patients, families, and internal teams. The Specialist will analyze accounts thoroughly to determine next steps whether that involves patient contact, internal escalation, or coordination with other departments. This position requires a detail-oriented individual who can identify account discrepancies, resolve billing issues, and ensure patients receive accurate and transparent account information while maintaining a professional and empathetic approach

Requirements

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.
High School Diploma or GED
One (1) year of experience in billing collections in a hospital setting

Responsibilities

Maintains confidentiality of medical records and patient information in compliance with HIPAA and organizational policies.
Answers billing office phone calls, addressing requests for information, reviewing claims, and resolving patient inquiries.
Initiates contact with patients who have past - due balances to facilitate timely payment.
Investigates and resolves outstanding claims, including appealing denied or unpaid claims as appropriate.
Collaborates with internal personnel and external parties to resolve discrepancies in accounts.
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.
Interprets department policies and procedures, providing guidance to personnel, patients, and family members as necessary.
Provides support to the Account Recovery Specialist team in achieving departmental goals.
Performs other related tasks as needed.