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Senior Patient Account Coordinator

2 months ago

Houston, Texas, United States Christus Health Full time
Job Overview

Summary:

The Senior Patient Account Coordinator is responsible for managing medical collection processes within TLRA collection units. Leveraging extensive experience in medical collections, this role aims to effectively resolve accounts assigned for collection. Key activities include follow-up and account resolution, necessitating communication with patients, clients, reimbursement vendors, and various external entities while strictly adhering to all applicable client, state, and federal regulations. Ensuring patient and client satisfaction is paramount. Team members in the collection units are expected to possess comprehensive knowledge of the overall collection workflows for both active accounts receivable and business development inventory.

Key Responsibilities:

· Adhere to the OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

· Deliver effective collection services, ensuring successful recovery of accounts in alignment with client and state guidelines, as well as TLRA's operational objectives.

· Accurately document and update patient account information in TLRA's collection software system in a timely manner, reflecting the appropriate account status.

· Manage inbound patient and/or carrier calls with professionalism, providing assistance and resolving inquiries, issues, and requests.

· Utilize collection tools effectively to ensure high-quality recovery services and to meet or exceed established performance standards.

· Conduct research and analysis of account issues, striving for timely and accurate resolutions.

· Meet daily productivity benchmarks.

· Foster positive patient relations by communicating in a manner that respects the dignity of patients and their families.

· Demonstrate proficiency in desktop applications, particularly Word and Excel.

· Possess a solid understanding of general hospital accounts receivable processes.

· Undertake additional special projects as assigned.

Collections – Insurance:

· Maintain up-to-date knowledge of all collection requirements imposed by payors.

· Collect outstanding balances from third-party payers in compliance with state and federal laws governing collection practices, ensuring that efforts are thorough and ethical.

· Ensure quality standards are upheld and maintain proper documentation regarding patient accounting records.

· Collaborate with other departments to gather necessary information for appeals, pending inquiries, and any issues affecting claim processing.

Collections – Self Pay:

· Handle self-pay accounts with a customer service focus, aiming to collect amounts due while preserving TLRA's positive community image.

· Assist patients in identifying potential financial assistance options or, if none are available, work with them to establish acceptable payment arrangements.

· Be an effective team player with strong communication skills, participating in team meetings and proactively sharing work-related ideas and concerns to facilitate appropriate resolutions.

Physician Billing/Collections:

· Ensure accurate reimbursement for all services and timely filing of appeals.

· Review accounts to determine appropriate follow-up actions utilizing Six Sigma practices.

· Identify underpayments and overpayments, taking necessary actions to resolve accounts.

· Validate commercial insurance claims to ensure payment according to contractual agreements.

· Possess direct experience with Meditech and CollectLogix software.

· Monitor and communicate errors generated by other teams, evaluating for trends.

Qualifications:

· High School diploma or equivalent experience required.

· 3-5 years of relevant experience preferred.

· Experience in a customer service call center environment focused on healthcare billing/collections or within a collection agency is required.

· College education, prior insurance company claims experience, and/or healthcare billing trade school education may be considered in lieu of formal hospital experience.

Work Type:

Full Time

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