Title: Patient Account Specialist, Sr. Description: Our client is looking for a Patient Account Specialist, Sr. to provide medical collection services for TLRA collection units. What You Will Do:
- Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection.
- Perform collection activities related to follow-up and account resolution, and includes communication to patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines.
- Utilize and apply industry knowledge to resolve aged accounts receivable by working various account types including but not limited to: Hospital and/or professional claims, governmental and/or non-governmental claims, denied claims, high priority accounts, etc.
- Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims.
- Pursues and/or follow-up on appeals.
- Initiates communication with coding team and clinical staff when coding related, and medical necessity appeals are warranted.
- Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments.
- Makes recommendations for resolution.
You Will Be Successful If:
- You have an impeccable customer service-oriented attitude and prioritize patient and client satisfaction.
- Knowledge of the overall collection work process for both active AR and Client inventory.
- Possess thorough understanding of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process.
- You are open-minded and adaptable to change. You can maintain performance during periods of change and understand changes in task and/or environment as well as the basis for change.
- Possesses ability to professionally communicate (in all forms) with payer resources such as: website, e-mail, telephone, customer service departments, etc.
- Possesses a cooperative and positive attitude toward clients, management, and co-workers by responding politely and professionally and being a valued team player
- Ability to meet departmental standards for quality and productivity.
What You Will Bring:
- 3+ years of experience in a Customer Service Call Center environment with a focus on healthcare billing and collections required.
- General hospital A/R accounts knowledge required.
- PC skills in a Windows environment
- Solid knowledge and utilization of desktop applications including Word and Excel.
About Impresiv Health:Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges. Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it. That's Impresiv!