Patient Account Collections Specialist Job at Robert Half (Clinton)

Patient Account Specialist Senior - TLRA Precollect

Provides medical collection services for TLRA collection units. Utilizes a stron...

Location

United States , Houston

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School diploma or equivalent years of experience required
3-5 years of experience preferred
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
General hospital A/R accounts knowledge is required
Must have solid knowledge and utilization of desktop applications to include Word and Excel are essential

Job Responsibility

Provides medical collection services for TLRA collection units
Performs collection activities related to follow-up and account resolution
Communication with patients, clients, reimbursement vendors, and other external entities
Documents and updates patient account information in TLRA’s collection software system
Handles inbound patient and/or carrier calls
Uses collection tools effectively to ensure quality recovery services
Performs research and analysis of account issues
Ensure daily productivity standards are met
Promotes positive patient relations
Maintains active knowledge of all collection requirements by payors

Fulltime

Patient Financial Specialist - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Meets or exceeds customer expectations and requirements
Compliant with all CHRISTUS Health, payer, and government regulations

Fulltime

Patient Financial Specialist - Patient Financial Services

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred
None required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Patient Financial Specialist - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Meets or exceeds customer expectations and requirements, and gains customer trust and respect

Fulltime

Medicare Managed Care Medical Collections Specialist

A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical collections, insurance follow-up, or healthcare accounts receivable required
Experience with Medicare managed care collections in a hospital or healthcare setting preferred
Strong knowledge of insurance appeals, denial management, and insurance AR follow-up
Familiarity with medical billing processes, payer guidelines, and reimbursement practices
Strong communication, negotiation, and problem-solving skills
Ability to organize and prioritize a high-volume workload in a fast-paced environment
Proficiency with hospital billing systems and electronic medical or revenue cycle platforms preferred
At least 3 years of experience in medical collections, insurance follow-up, or healthcare accounts receivable
Background in Medicare managed care or Medicare Advantage collections within a hospital or healthcare setting is preferred
Working knowledge of denial management, insurance appeals, and payer follow-up practices

Job Responsibility

Call insurance companies, payers, and/or patients to secure payment on unpaid claims
Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement
Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution
Submit and track insurance appeals related to denied or underpaid claims
Review denials, determine root cause, and take corrective action to support claim resolution
Gather and provide required documentation to payers to support payment or appeal requests
Work closely with internal departments to resolve billing discrepancies and improve claim turnaround times
Maintain accurate account notes and update billing systems with collection and follow-up activity
Monitor unpaid claims to ensure timely escalation and resolution

What we offer

medical insurance
vision insurance
dental insurance
life insurance
disability insurance
401(k) plan

Fulltime

Medical Billing & Collections Specialist

We are looking for a detail-oriented Medical Billing & Collections specialist to...

Location

United States , Greenacres

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical collections, medical accounts receivable, or related healthcare billing work
Practical knowledge of explanation of benefits review and insurance claims processing
Ability to interpret denials, investigate payment variances, and pursue resolution with payers effectively
Experience handling medical appeals, claim follow-up, and reimbursement collection activities
Strong attention to detail with solid analytical and problem-solving abilities
Comfortable working in a high-volume, team-oriented onsite environment
Experience with Epic or similar healthcare billing software is preferred
Prior experience working within the client's billing platform is highly preferred

Job Responsibility

Analyze explanation of benefits documents to identify billed services, insurer payments, contractual adjustments, and amounts owed by patients
Manage assigned denial and collections work queues, prioritizing unresolved accounts and taking action to move claims toward payment
Research underpaid or rejected claims and determine the appropriate next steps to correct and resolve billing issues
Communicate with insurance carriers to clarify discrepancies, obtain claim status updates, and secure outstanding reimbursement
Prepare and submit corrected claims or appeals within required filing deadlines to reduce avoidable payment delays
Record all follow-up efforts, account updates, and collection activity accurately within the billing system
Contribute to accounts receivable performance by helping reduce aging balances and supporting team collection goals
Collaborate with onsite team members in a fast-paced setting to maintain efficient claim follow-up and resolution workflows

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

Medical Biller / Collections Specialist

We are seeking a detail-oriented Medical Biller / Collections Specialist to supp...

Location

United States , Berkeley

Salary:

30.00 - 36.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

3-4+ years of experience in medical billing, collections, accounts receivable, or revenue cycle management within a healthcare setting
Strong knowledge of insurance claims processing, denial management, appeals, payment posting, collections, and accounts receivable follow-up
Working knowledge of CPT, ICD-10, HCPCS codes, EOBs, Medicare, Medi-Cal, and commercial insurance plans
Proficiency with EMR/EHR and practice management systems, along with Microsoft Office Suite, particularly Excel
Excellent analytical, problem-solving, communication, and organizational skills with strong attention to detail

Job Responsibility

Submit, review, and process medical claims while ensuring compliance with payer requirements, coding guidelines, and billing regulations
Manage accounts receivable follow-up by researching unpaid claims, identifying denial trends, and pursuing timely reimbursement from insurance carriers
Resolve claim denials, rejections, underpayments, and billing discrepancies through appeals, corrections, and payer communication
Post insurance and patient payments, reconcile accounts, and maintain accurate documentation within billing and practice management systems
Communicate with patients, providers, insurance representatives, and internal departments regarding account balances, payment arrangements, and billing inquiries

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Medical Collections Specialist

We are looking for a Medical Collections Specialist to join a healthcare team in...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical collections, accounts receivable follow-up, or healthcare reimbursement functions
Strong understanding of Explanation of Benefits documents and insurance claim adjudication processes
Knowledge of patient financial responsibility concepts, including copays, deductibles, coinsurance, and out-of-pocket maximums
Familiarity with commercial insurance plans, PPO products, and Medicare Advantage reimbursement structures
Proven ability to write effective appeals for denied or underpaid medical claims
Confidence interacting with both insurance representatives and patients regarding account balances and claim outcomes
Ability to manage a high-volume workload, stay organized under pressure, and consistently achieve performance targets
Working knowledge of medical terminology and revenue cycle processes related to claim denials and reimbursement

Job Responsibility

Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments
Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility
Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement
Prepare clear, persuasive appeals that address payer findings and support claim reconsideration
Communicate with insurance carriers to resolve billing discrepancies, payment issues, and adjudication concerns
Speak with patients regarding outstanding balances, explaining how copays, deductibles, coinsurance, and out-of-pocket limits affect what they owe
Maintain consistent follow-up on assigned accounts while meeting productivity expectations in a fast-moving workload
Apply analytical judgment to determine the most effective next steps for account resolution and escalation when needed
Collaborate with team members to support collection goals and maintain quality standards across account follow-up activities

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

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Patient Account Collections Specialist

Job Description

Job Responsibility

Requirements

What we offer

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