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Patient Collections Specialist

2 months ago

Houston, United States Premier Medical Resources Full time
Job DescriptionJob Description

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.

Premier Medical Resources (77040) is hiring for a Full-Time Patient Collections Specialist is responsible for managing, monitoring, and contacting individuals with unresolved bills to collect payments under the supervision of the Billing Manager.

ESSENTIAL FUNCTIONS:
• Maintains confidentiality of medical records
• Answers billing office phone calls including requests for information and claim review
• Initiates contact to patients with past due balances
• Resolves outstanding claims and appeal any denied or unpaid claims
• Works with appropriate individuals to resolve discrepancies
• Processes and posts patient payments daily to ensure account balances correctly reflect the current balance due
• Researches and processes all refund requests within the insurance contractual obligations and state and federal laws
• Interprets department policies and procedures to personnel, patients/family members, etc., as necessary
• Supports the Account Recovery Specialist team
• Performs other related duties as assigned

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 insurance collections/billing reimbursement experience 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

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.



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