Patient Account Specialist

4 weeks ago


Baton Rouge, United States Amtex Systems Inc Full time
Job DescriptionJob Description1. The job is for a Patient Account Specialist Senior-Onsite at CHRISTUS Corp Lake Charles TLRA Office, Lake Charles, LA.
2. The role involves collections from insurance and other third-party payers for medical services provided.
3. The specialist is expected to identify denied or underpaid claims and work towards their resolution within stipulated timelines.
4. The incumbent needs to have a thorough understanding of claims processing, appeal procedures, provider contracts with insurances and third-party payers, and different payment methodologies.
5. The role requires knowledge of standard bill forms, filing requirements, explanation of benefits, and online payor portals and resources.
6. The specialist needs to identify and communicate issues and trends that could impact account resolution and reimbursement.
7. The role involves providing medical collection services for TLRA collection units, which includes performing collection activities related to follow-up and account resolution.
8. The incumbent needs to communicate with patients, clients, reimbursement vendors, and other external entities while adhering to all guidelines.
9. Patient and client satisfaction is a critical part of the role.
10. Knowledge of the overall collection work processes for both active AR and BD inventory is required.



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