Revenue Cycle Management is seeking a full-time Patient Accounts Specialist to manage and monitor patient accounts after insurance claims have been finalized.
This role is responsible for resolving outstanding balances, analyzing accounts, identifying billing discrepancies, coordinating with internal departments, and communicating with patients regarding financial responsibility. The position supports accurate account resolution, customer service, and compliance with organizational policies and regulatory requirements.
Essential Functions
- Review and analyze accounts to determine patient responsibilities, insurance obligations, contractual adjustments, and other outstanding balances
- Initiate contact with patients who have past-due balances to support timely payment
- Collaborate with internal personnel and external parties to resolve account discrepancies
- Interpret department policies and procedures and provide guidance to personnel, patients, and family members as needed
- Process and post patient payments daily to ensure account balances remain accurate
- Research and process refund requests in compliance with insurance contracts, state law, and federal law
- Maintain confidentiality of medical records and patient information in compliance with HIPAA and applicable regulations
- Promote positive patient relations through professional and respectful communication
- Handle inbound and outbound patient and carrier calls to resolve account questions and concerns
- Support the Account Recovery Specialist team in achieving departmental goals
- Perform other related tasks as needed
Requirements & Qualifications
Knowledge, Skills, and Abilities
- Critical thinking skills with the ability to organize and resolve outstanding delinquencies
- Decision-making skills based on accurate information and data analysis
- Strong communication and problem-solving skills
- Solid knowledge of medical terminology, CPT codes, ICD-10 codes, and procedures
- Ability to adapt and work effectively in a fast-paced environment
- Proficiency with Microsoft Office, including Word, Outlook, and Excel
Education and Experience
- High School Diploma or GED
- 1 year of experience in billing collections in a hospital setting
Benefits & Perks
Benefits
- 3 medical plans
- 2 dental plans
- 2 vision plans
- Employee Assistance Program
- Short- and long-term disability insurance
- Accidental Death & Dismemberment plan
- 401(k) with 2-year vesting
- PTO and holidays
Location
Houston, Texas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago