Patient Account Specialist Senior-Onsite

9142293 Patient Account Specialist Senior (Onsite) – Houston, TX | 3-Month Contract

Sigma Inc. is seeking an experienced Patient Account Specialist Senior to join our healthcare revenue cycle team in Houston, TX. This is an excellent opportunity for professionals with strong experience in medical collections, insurance follow-up, healthcare billing, accounts receivable (A/R), and patient account resolution.

Position Details

• Job Title: Patient Account Specialist Senior
• Location: Houston, TX (Onsite)
• Duration: 3-Month Contract
• Schedule: Monday – Friday, Full-Time
• Industry: Healthcare Revenue Cycle / Medical Collections

Position Summary

The Patient Account Specialist Senior provides comprehensive medical collections and account resolution services for healthcare accounts. This role is responsible for insurance follow-up, payment recovery, appeals management, reimbursement validation, account research, and patient account resolution while maintaining compliance with client, state, and federal regulations.

The ideal candidate will have experience working in a hospital business office, healthcare collections agency, or revenue cycle environment and possess strong knowledge of medical billing, insurance collections, accounts receivable management, and payer regulations.

Key Responsibilities

Medical Collections & Account Resolution

• Perform collection activities for healthcare accounts placed for recovery.
• Resolve outstanding balances through insurance follow-up and account research.
• Communicate professionally with patients, insurance carriers, clients, and third-party vendors.
• Maintain accurate documentation within collection software systems.
• Ensure compliance with all state, federal, and client collection guidelines.
• Meet daily productivity, quality, and recovery goals.

Insurance Follow-Up & Reimbursement

• Collect balances owed by commercial and government payers.
• Review claims and identify appropriate follow-up actions.
• File timely appeals and monitor reimbursement status.
• Validate insurance payments according to contractual agreements.
• Research and resolve denied, underpaid, and overpaid claims.
• Monitor payer trends impacting reimbursement and collections.

Customer Service & Patient Support

• Handle inbound patient and insurance calls professionally.
• Assist patients with payment arrangements and financial assistance options.
• Provide exceptional customer service while resolving billing concerns.
• Promote positive patient relationships throughout the collection process.

Reporting & Compliance

• Document account activity accurately and timely.
• Identify process issues and communicate trends affecting account resolution.
• Utilize collection tools and reporting systems to improve performance.
• Support special projects and departmental initiatives as assigned.

Required Qualifications

• High School Diploma or equivalent required.
• 3–5 years of healthcare collections, medical billing, accounts receivable, or insurance follow-up experience preferred.
• Experience in a healthcare call center, hospital business office, revenue cycle department, or collection agency environment.
• Knowledge of healthcare reimbursement processes and payer requirements.
• Strong understanding of medical collections practices and insurance follow-up.
• Excellent verbal and written communication skills.
• Strong problem-solving, analytical, and organizational abilities.
• Proficiency in Microsoft Word and Excel.
• Ability to work independently and collaboratively within a team environment.

Preferred Qualifications

• Experience with hospital accounts receivable (A/R).
• Knowledge of insurance appeals and denial management.
• Experience identifying and resolving underpayments and overpayments.
• Familiarity with Six Sigma methodologies.
• Direct experience using Meditech and CollectLogix software.
• Strong knowledge of commercial insurance claims processing and reimbursement validation.