patient account specialist

TEEMA Group

<div><h2 class="jobSectionHeader">Patient Account Specialist Senior</h2><h3 class="jobSectionHeader">
Role Summary</h3>
Take a senior-level seat in a high-performing medical collections unit where your expertise directly impacts the financial health of a premier healthcare system. As a Senior Patient Account Specialist, you will navigate the complexities of insurance reimbursement, identifying and resolving denied or underpaid claims with precision and speed. This role is perfect for a detail-oriented professional who enjoys solving financial puzzles and advocating for proper reimbursement through professional communication with payers, patients, and vendors. You will be a key contributor to maintaining the structural integrity of the accounts receivable process while ensuring world-class patient and client satisfaction.
Key Duties:<ul><li>
Revenue Recovery: Collect outstanding balances from commercial, governmental, and third-party payers to ensure full and proper reimbursement for medical services.</li><li>
Claims Resolution: Proactively identify denied or underpaid claims, implementing timely solutions and appeals within specific payer guidelines.</li><li>
Knowledge Leadership: Maintain an expert-level understanding of payer claims processing, appeal procedures, provider contracts, and various payment methodologies.</li><li>
Technical Proficiency: Utilize a deep understanding of standard billing forms, filing requirements, and Explanation of Benefits (EOB) while navigating online payer portals.</li><li>
Trend Analysis: Identify and communicate recurring issues or industry trends that impact account resolution and overall reimbursement efficiency.</li><li>
Comprehensive Account Management: Manage both active Accounts Receivable (AR) and Bad Debt (BD) inventory, ensuring all documentation is accurate and compliant with state and federal guidelines.</li><li>
Stakeholder Collaboration: Facilitate professional communication with patients, clients, and reimbursement vendors to resolve complex account issues.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Experience: Strong professional background as a medical collection specialist with a proven track record of resolving complex healthcare accounts.</li><li>
Skills: Expert knowledge of medical collection work processes and insurance reimbursement cycles.</li><li>
Compliance: Ability to adhere strictly to all client, state, and federal collection guidelines.</li><li>
Medical Requirements: Must complete all required medical screenings prior to start.</li></ul><h3 class="jobSectionHeader">
Desired Qualifications</h3><ul><li>
Communication: Exceptional interpersonal skills with the ability to manage conflict and provide a high level of patient and client satisfaction.</li><li>
Analytical Ability: Strong skills in identifying reimbursement trends and navigating various payer payment methodologies.</li><li>
System Knowledge: Familiarity with TLRA collection unit processes or similar large-scale hospital billing systems.</li></ul><h3 class="jobSectionHeader">
Location and Work Type</h3><ul><li>
Setting: Hospital Corporate Office / TLRA Collection Unit</li><li>
Work Type: On-site</li><li>
Location: Lake Charles, LA</li><li>
Schedule: Monday &ndash; Friday (8-hour shifts)</li><li>
Education Note: High School Diploma/GED verification is no longer required for this specific role.</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. 
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Patient Account Specialist Senior

Kaweah Health

<div>Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.
It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do &mdash; in the health of our patients, our loved ones, and our community.
Benefits Eligible
Full-Time Benefit Eligible
Work Shift
Day - 8 Hour or less Shift (United States of America)
Department
8530 Patient Financial Services
Maintains complete and full knowledge of payer(s) assigned to ensure accurate billing and collection of the claims. Validates that the Kaweah Health is being reimbursed by the payer in accordance with government or contract terms.
QUALIFICATIONS
Education
Preferred: High school diploma or equivalent
Experience
Required: Prior Patient Accounting or admissions experience. Comparable medical billing education may be considered.
JOB RESPONSIBILITIES
Essential
Maintains complete and full knowledge of payer(s) assigned to ensure compliance of specific guidelines and rules, as well as ensuring the Kaweah Health is being reimbursed by the payer in accordance with governmental or contract terms. Is a resource to Finance division management regarding the assigned payer.
Brings any reimbursement or compliance concerns to the attention of the Patient Accounting Manager.
Utilizes computer systems and/or billing reports to review all patient registrations or admissions for demographic information, appropriate financial class, insurance company and plan, and charges. 100% accuracy of this information is required to ensure proper recording of revenue, necessary authorizations are obtained, payer classification, correct billing of patient account, and other statistical indicators. Brings any unresolved issues to the attention of their manager.
Audits unbilled reports for potential holdups of patient accounts. Works closely with Medical Records on coding issues, Insurance Verification Clerk on insurance issues and other departments as necessary.
Completes billing process. Ensures all charges are accurate and appropriate. Payer guidelines will be followed during the billing process. After billing has been completed, uses appropriate charge description master (CDM) number to identify the payer and when the account was billed. Works closely with departments on unresolved issues.
Reviews and researches patient account credits and refunds as appropriate to patient and/or payer. For governmental payers, has the credit retracted.
Receives all correspondence and inquiries related to patient accounts and payer contract for which they are responsible. Answers mail and take appropriate action within specified timeframe.
Bills any secondary payers, change financial classes accordingly and sends appropriate collection system letter to patient for co-pays and deductibles owed, denied services, amounts applied to deductible, etc. Uses correct CDM code to identify what secondary payer was billed and when.
Reviews and works aging reports to identify unpaid patient accounts. Follows up with payers for timely reimbursement.
Works to ensure that days in accounts receivable goals are met maintained and/or lowered. Maintains job productivity and quality standards on a consistent basis as established by division management.
Answers phones as a back up to other departmental staff. Takes messages or routes calls as appropriate. As back up, assists customers at the service counter.
Conforms with patient confidentiality standards.
Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
Performs other duties as assigned.
Addendum (essential for specific dept)
Insurance or managed care payer:
Has complete knowledge of assigned insurance payer, knows contract terms, requirements and payment practices.
Receives prior day's explanation of benefits or remittance advices for assigned payer(s). Reviews to ensure that appropriate contractual adjustments have been taken by payer. Works closely with payer to resolve issues and brings continued problems to the attention of their manager.
Monitors patient accounts for secondary payer reimbursement.
Medicare payer:
Gets electronic remittance advice (R/A) ready for the Accounts Receivable Clerks. Distributes Medicare mail.
Reviews DRG worksheet for accuracy of reimbursement. Reviews all denied changes for appropriateness.
Reviews the Pending Billing List report and deletes non-covered services. Checks for overlapping claims through accounts receivable inquiry (ARI).
Reviews and processes recurring accounts according to procedure.
If responsible for professional billing, processes these bills according to procedure.
Reviews and follow up on the DDE system.
Medi-Cal payer:
Maintains full and complete knowledge of the regulations governing the Medi-Cal payer.
Reviews the Pending Billing List report and/or the Final Accounts and Cycle Billed report. Follow up is completed according to procedure.
Reviews and processes R/A's following procedure.
Reviews MEDTRIEVE data to identify problems in billing. Reviews statistical data with their Manager to maximize reimbursement
Reviews Medi-Cal TAR Dashboard weekly for any follow up on approved or denied TARs.
Self-pay accounts:
Responsible for the administration of the Computer Collection letter service interface (CCI) process.
Prepares and completes the bad debt write-off and assignment to the collection agency.
Acts as a liaison to the collection agency and works with patients regarding hospital accounts assigned.
Responsible to identify patient accounts that may qualify for charity care. Works with patients who inquire about charity program.
Monitors patient accounts pending the Medi-Cal disability process and/or TCMS program.
Responsible for the estate lien filing in the case of deceased patients to assure that the Kaweah Health receives payment on accounts.
Lead also responsible for:
May be responsible for educating individuals in the Patient Accounting Department on new processes and/or payment regulations.
May be assigned to develop training curriculum on new processes.
Provides department staff with information regarding updates or changes.
May serve as a Subject Matter Expert (SME) for systems issues and claim payment issues.
Identifies, investigates, and appropriately communicates account errors in order to prevent further errors.
Proactively and critically analyzes departmental processes and products, makes continuous improvements.
Keeps the Director of Patient Financial Services informed of any potential issues or areas of concern on an ongoing basis.
Pay Range
$23.37 -$35.05
If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.</div>

Patient Account Specialist

Baxter

<div>Req # 203701 Location Saint Paul, Minnesota, United States Job Category Administrative Date posted 06/12/2026</div>
 <div>This is where your work makes a difference.
At Baxter, we believe every person&mdash;regardless of who they are or where they are from&mdash;deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond.
Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results.
Here, you will find more than just a job&mdash;you will find purpose and pride.
Your Role at Baxter:
As the Patient Accounts Receivable Specialist, you will work with patients to resolve balances or determine appropriate alternate resolutions (self-pay, financial assistance, device return, etc.) and manage the selected process through to completion within our Respiratory Health Division.
What You'll Be Doing:<ul><li>
Perform collections and research activities on patient account receivables by working with patient/families to determine appropriate resolution</li><li>
Generate option letters on accounts following insurance denial or notification of balance and follow through to resolution</li><li>
Generate financial assistance applications, manage the review process, track results and follow-up with patients</li><li>
Provide timely and professional communication with patients, families, co-workers, etc.</li><li>
Process PFA documents, bankruptcy notifications and return mail</li><li>
Create adjustments on assigned balances following the established policies and procedures</li><li>
Arrange for device shipment or pick-up with Customer Service</li><li>
Work accounts flagged for Collection Agency to provide necessary documentation as requested</li><li>
Arrange for Self-Pay of device, supply and accessory purchases</li><li>
Generate manual invoices/quotes and work accounts classified as specialized billing (Embassy, CHOP, Mexico, Canada, Trust Fund, etc.)</li><li>
Other duties and projects assigned.</li></ul>
What You'll Bring:<ul><li>
High school diploma or equivalent required</li><li>
2+ years of experience in customer service, billing, collections, insurance within medical/healthcare environment preferred but not required.</li><li>
Experience working with high-dollar DME preferred</li><li>
Bilingual in English/Spanish preferred</li><li>
Experience with medical benefits and explanations of benefits (EOBs) preferred</li><li>
Excellent customer service and communications skills</li><li>
Strong attention to detail</li><li>
Ability to function in an independent work environment and organize/prioritize workload</li><li>
Innovative thinking/problems solving skills</li><li>
Ability to develop and maintain positive working relationships</li><li>
Proficiency with Microsoft Office required</li><li>
Billing database software experience preferred</li></ul>
Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion, Baxter may decide to adjust, suspend, or discontinue as business needs change.
We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $51,200 to 70,400 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
US Benefits at Baxter (except for Puerto Rico)
This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter
Equal Employment Opportunity
Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.
Know Your Rights: Workplace Discrimination is Illegal
Reasonable Accommodations 
 
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.
Recruitment Fraud Notice 
 
Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.</div>

Spec, Patient Account Receivable

Macrise Tech Solutions

Patient Billing &amp; Account Services SpecialistThe Patient Billing &amp; Account Services Specialist is responsible for managing patient financial communications, payment processing, account maintenance, and billing support activities. This role requires strong customer service skills, attention to detail, and the ability to effectively resolve billing inquiries while ensuring accurate account management and timely payment collection. The position supports overall revenue cycle performance by maintaining accurate financial records and providing exceptional patient assistance.Key ResponsibilitiesPatient Communication &amp; Account Support<ul><li>Conduct outbound outreach to patients regarding outstanding balances, payment reminders, account updates, and billing-related matters.</li><li>Respond to inbound patient inquiries concerning billing statements, account balances, payment arrangements, and general account questions.</li><li>Provide professional, courteous, and empathetic customer service while addressing patient concerns and offering accurate billing information.</li><li>Assist patients in understanding payment options, financial responsibilities, and available payment solutions.</li></ul>Billing &amp; Payment Processing<ul><li>Accurately post insurance and patient payments within the practice management and billing systems.</li><li>Process manual payments and receipts while ensuring all financial transactions are properly documented and reconciled.</li><li>Generate, distribute, and monitor electronic billing statements in a timely manner.</li><li>Establish, maintain, and monitor patient payment plans according to organizational policies and guidelines.</li><li>Process recurring and scheduled payment plan transactions while ensuring accurate posting and account reconciliation.</li></ul>Account Maintenance &amp; Reconciliation<ul><li>Review patient accounts to identify payment posting discrepancies, resolve errors, and perform necessary account adjustments.</li><li>Maintain accurate and current patient demographic, insurance, and financial information within the billing system.</li><li>Document all billing activities, account updates, patient communications, and payment transactions thoroughly and accurately.</li><li>Perform routine account audits to ensure data integrity and financial accuracy.</li></ul>Encounter Review &amp; Documentation Management<ul><li>Review patient encounters to verify accurate charge capture and alignment with services rendered.</li><li>Collaborate with clinical, administrative, and billing teams to resolve incomplete, missing, or inaccurate encounter documentation.</li><li>Maintain organized and up-to-date billing records within the practice management system.</li><li>Support compliance initiatives by ensuring proper documentation and record retention standards are maintained.</li></ul>Core Competencies<ul><li>Strong knowledge of medical billing, patient accounts, and revenue cycle processes.</li><li>Excellent communication, customer service, and conflict-resolution skills.</li><li>High attention to detail and accuracy in payment posting and account reconciliation.</li><li>Ability to manage multiple priorities while meeting deadlines.</li><li>Proficiency with electronic health records (EHR), practice management, and billing systems.</li></ul>Pay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Willing to work the night shift, Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Medical Billing & Collections Specialist

Progress Weight Management

Medical Billing SpecialistLocation: Fargo, ND (In-Person)Job Type: Full-TimePay Range: $18.00&ndash;$25.00 per hourAbout the RoleWe are seeking a detail-oriented and dependable Medical Billing Specialist to join our growing healthcare team in Fargo, North Dakota. This position plays a critical role in supporting the financial health of our organization by ensuring accurate claim submission, timely reimbursement, and exceptional patient service.The ideal candidate has prior medical billing experience, strong problem-solving skills, initiative, and a collaborative work ethic. They are confident in working with insurance claims, billing processes, revenue cycle management, and EHR systems while contributing to a mission-driven healthcare organization.Key ResponsibilitiesClaims Management &amp; Reimbursement<ul><li>Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, Tricare, and other third-party payers.</li><li>Audit claims for completeness and accuracy prior to submission.</li><li>Monitor claim status and perform follow-up on unpaid, delayed, denied, or rejected claims.</li><li>Research claim issues and coordinate appeals to maximize reimbursement.</li><li>Document all follow-up activities and claim actions within patient account records.</li></ul>Insurance Verification &amp; Eligibility<ul><li>Verify patient insurance eligibility and benefits prior to services.</li><li>Identify authorization and referral requirements when applicable.</li><li>Confirm coverage limitations and patient financial responsibility.</li></ul>Patient Billing &amp; Customer Service<ul><li>Generate and distribute patient statements.</li><li>Assist patients with billing questions, insurance explanations, account balances, and payment options.</li><li>Explain Explanation of Benefits (EOBs) and patient financial obligations in a professional manner.</li></ul>Payment Posting &amp; Account Reconciliation<ul><li>Post insurance payments, patient payments, contractual adjustments, and corrections accurately.</li><li>Reconcile account balances and investigate discrepancies.</li><li>Maintain accurate billing and payment records.</li></ul>Compliance &amp; Reporting<ul><li>Ensure compliance with HIPAA regulations and payer requirements.</li><li>Maintain confidentiality of patient information at all times.</li><li>Stay current on billing regulations, coding updates, and reimbursement guidelines.</li><li>Prepare reports and billing-related documentation as requested.</li></ul>QualificationsRequired<ul><li>High school diploma or equivalent.</li><li>Minimum 1&ndash;3 years of medical billing experience in a clinic, hospital, or healthcare billing environment.</li><li>Experience with medical billing software and Electronic Health Record (EHR) systems.</li><li>Knowledge of medical terminology and healthcare reimbursement processes.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Understanding of Medicare, Medicaid, commercial insurance, and coordination of benefits.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and customer service abilities.</li><li>Ability to multitask and prioritize work in a fast-paced environment.</li><li>Proficiency with computers.</li><li>Ability to maintain confidentiality and professionalism when handling sensitive information.</li></ul>Preferred<ul><li>Certified Professional Biller (CPB), Certified Billing &amp; Coding Specialist (CBCS), or similar credential.</li></ul>Benefits<ul><li>Medical, Dental &amp; Vision Insurance</li><li>Short Term Disability Insurance</li><li>Retirement</li><li>Paid Time Off (PTO)</li><li>Paid Holidays</li></ul>Pay: $18.00 - $25.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing Specialist

Novant Health

<div>What We Offer:

Novant Health is seeking a Pharmacy Reconciliation Specialist, to join our corporate pharmacy team, to deliver optimal medication management across all dimensions of care, every time. 
Schedule: Monday - Friday, 8am - 5pm. Primarily remote with possible onsite expectation. North or South Carolina residency highly preferred<div> 
The Pharmacy Reconciliation Specialist responsibilities will include includes reconciliation of pharmacy third party claims, investigating non-matched unpaid and underpaid claims, reconciliation of Novant Health interdepartmental pharmacy charges while maintaining organized and accurate pharmacy records.</div> 
Essential functions include:<ul><li>
Facilitate pharmacy financial vitality by using current technology to reconcile pharmacy accounts and third party transactions</li><li>
Problem solves pharmacy account discrepancies</li><li>
Review accuracy of pharmacy daily receipts</li><li>
Process vouchers as needed</li><li>
Continually work with pharmacy teams, vendors, third party plans, and departments within Novant Health to facilitate reconciliation</li><li>
Point of contact for patient account inquires</li><li>
Responsible for aged pharmacy accounts and timely patient communication</li><li>
Able to communicate clearly, both oral and written. Talks in a way the customer can understand</li><li>
Provides customer service with the goal of exceeding expectations in the areas of courtesy, commitment, communication, customer wait, privacy, and request</li><li>
Organize and maintain accurate pharmacy records</li><li>
Maintain skills and knowledge through participation in service-related learning opportunities</li><li>
Ensure compliance with North Carolina Board of Pharmacy, CMS, third party plans and Novant Health</li><li>
Demonstrates ability to successfully inform patient/team members of specific information including need for more information, signatures on forms, or other items required by third party payers</li><li>
Special duties or projects as directed</li></ul>
Patient centered pharmacy or healthcare customer service experience highly preferred
What We're Looking For:
<ul><li>Education: High School or GED, required. 4 Year/Bachelors Degree, preferred. Pharmacy Technician certification, preferred.</li><li>
Experience: One year customer service, required. Outpatient pharmacy and pharmacy third party experience preferred. 
</li><li>
Additional Skills Required:<ul><li>
Must have highly developed work ethic and the ability to convey information over the phone while being professional, empathic, and sympathetic, when necessary. Excellent communication skills and Excellent grammar. Must be detail oriented. Requires the ability to work independently. Must be able to function as part of a goal driven team. Must possess initiative. Must be experienced with Microsoft office i.e. Excel. Knowledge of operation of copy machine, fax machine.</li></ul></li></ul></div>

Pharmacy Reconciliation Specialist

Lincoln Vision Center

Busy optometric practice looking for an exceptional front office specialist to greet and direct patients accordingly in-person or on the phone in a professional and courteous manner. Schedule appointments as well as check-in and check-out patients including verifying insurance and registration information and collecting payment. Balance cash drawer and reconcile credit card transactions.Responsibilities and DutiesComputer experience with electronic medical records or patient scheduling preferred. Technical skills needed to operate copier/ fax/scanner and be able to troubleshoot problems as they arise. Must have excellent customer service skills.Job Type: Full-timePay: $15.00 - $19.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Professional development assistance</li><li>Retirement plan</li></ul>Work Location: In person

Front Office Specialist

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