Patient Account Specialist Senior - TLRA Insurance

Responsibilities

• Maintains effective collection services, ensuring successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
• Documents and updates patient account information in TLRA’s collection software system timely and accurately, including appropriate account status.
• Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.
• Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
• Performs research and analysis of account issues and strives to resolve problems timely and accurately.
• Maintains active knowledge of all collection requirements by payors and collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices.
• Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
• Ensures quality standards are met and proper documentation regarding patient accounting records.
• Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.
• Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.
• Responsible for assisting patients in identifying eligible means of financial assistance or if non-applicable, working with the patient to make acceptable payment arrangements.
• Participates in team meetings, communicates work-related ideas and concerns proactively, and assists in finding appropriate resolutions.
• Ensure daily productivity standards are met.
• Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
• Performs other special projects as required when assigned.

Qualifications

• High School diploma or equivalent years of experience required.
• Experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
• College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.