Senior Patient Account Representative - Revenue Cycle

Location: Remote (2-4 weeks onsite for training at 1851 Crosspoint Ave, Houston, TX 77054). Must live in Texas and be able to attend any required onsite meetings. Lodging and mileage reimbursement for training are not provided.

About the role

Works to achieve team and departmental goals by performing a variety of duties and procedures to follow up and resolve outstanding accounts receivable balances on complex accounts by securing payment and/or applying the appropriate adjustments. Responsible for analyzing accounts to identify trends as well as errors, including incorrect adjustments, and issuing corrected entries when necessary.

Responsibilities

• Reviews incoming correspondence and takes appropriate action; responds promptly to inquiries.
• Analyzes accounts for errors, adjustments, and credits, issuing corrected entries when necessary; updates account information accordingly.
• Documents communications accurately and completely.
• Obtains financial information from patients; analyzes information to determine appropriateness of action.
• Mentors and serves as a resource for less experienced staff.
• Prepares written responses for administrative complaints and problem accounts.
• Contacts third-party payers to effect payment on patient accounts.
• Assists in the development of policies and procedures.
• Manages account resolution related to insurance follow-up and denials management.
• Oversees back-end revenue cycle functions from discharge through final account resolution.
• Coordinates with payers to resolve outstanding claims and ensure timely reimbursement.
• Specializes in identifying, tracking, and resolving claim denials to reduce delays and prevent revenue loss.

Requirements

• High school graduation or equivalent required; graduate from a vocational business school with a minor in a job-related field preferred.
• Three to five years of hospital/medical collections experience with understanding of third-party reimbursement procedures, as well as state and federal regulations governing healthcare.
• Knowledge of business office, patient billing, or collection/reimbursement procedures in a healthcare setting.
• Proficient in MS Office with emphasis in Excel, 10-key, and math.
• Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
• This position is security-sensitive pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. Employees in this role may be required to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code 117.001(2).
• Employees must permanently reside and work in the State of Texas.

Benefits

• 100% paid medical premiums for full-time employees.
• Generous time off: holidays, preventative leave day, vacation, and sick time (equates to around 37-38 days per year).
• Vacation accrual increases with longevity.
• Longevity Pay: Monthly payments after two years of service.
• Retirement/pension plan.
• Free financial and legal counseling.
• Free mental health counseling services.
• Gym membership discounts and access to wellness programs.
• Employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care.