Patient Account Specialist, Sr.

4 days ago


Lake Charles, Louisiana, United States Impresiv Health Full time
About the Role

We are seeking a highly skilled Patient Account Specialist, Sr. to join our team at Impresiv Health. As a key member of our operations team, you will play a critical role in providing medical collection services for our clients.

Key Responsibilities
  • Resolve Accounts: Utilize your expertise in medical collection to successfully resolve accounts placed with TLRA for collection.
  • Collection Activities: Perform follow-up and account resolution activities, including communication with patients, clients, reimbursement vendors, and other external entities, while adhering to all client, state, and federal guidelines.
  • Industry Knowledge: Apply industry knowledge to resolve aged accounts receivable by working various account types, including hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high-priority accounts, etc.
  • Work Queues: Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
  • Appeals: Pursue and/or follow-up on appeals.
  • Coding and Clinical Staff: Initiate communication with coding team and clinical staff when coding-related and medical necessity appeals are warranted.
  • Denial Trends: Identify denial trends and notify Supervisor and/or Manager to prevent future denials and further delay in payments.
  • Recommendations: Make recommendations for resolution.
Requirements
  • Customer Service: Possess an impeccable customer service-oriented attitude and prioritize patient and client satisfaction.
  • Collection Work Process: Knowledge of the overall collection work process for both active AR and client inventory.
  • Hospital Revenue Cycle: Possess a thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process.
  • Adaptability: Be open-minded and adaptable to change, maintaining performance during periods of change and understanding changes in task and/or environment.
  • Communication: Possess the ability to professionally communicate with payer resources, including websites, email, telephone, customer service departments, etc.
  • Team Player: Possess a cooperative and positive attitude toward clients, management, and co-workers, responding politely and professionally and being a valued team player.
  • Quality and Productivity: Ability to meet departmental standards for quality and productivity.
Requirements and Qualifications
  • Experience: 3+ years of experience in a customer service call center environment with a focus on healthcare billing and collections.
  • Hospital A/R Accounts: General hospital A/R accounts knowledge required.
  • PC Skills: PC skills in a Windows environment.
  • Desktop Applications: Solid knowledge and utilization of desktop applications, including Word and Excel.


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