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Patient Accounts Specialist (Facilities)

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
ESSENTIAL FUNCTIONS:
  • 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.
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 experience in billing collections 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

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.

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.

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