Employer: Sigma Inc.
Location: Houston, TX
Contract Length: 3 Months
Shift: Monday – Friday
Onsite Role
Sigma Inc. is seeking an experienced Patient Account Specialist Senior to join our onsite team in Houston, TX. In this role, you will leverage your expertise in medical collections and hospital billing processes to resolve accounts placed with TLRA for collection. This role requires excellent communication skills, problem-solving ability, and strong attention to detail while following state, federal, and client compliance standards.
Perform medical collections activities including account follow-up, appeals, and resolution.
Communicate effectively with patients, healthcare clients, reimbursement vendors, and other external parties.
Manage multiple work queues by engaging payor websites and initiating calls to ensure timely medical claim payments.
Work with coding and clinical teams to resolve medical necessity and coding-related appeals.
Track denial trends and notify supervisors to proactively address issues and prevent payment delays.
Apply industry knowledge to resolve various account types: hospital and professional claims, governmental and non-governmental claims, high-priority accounts, and denials.
Maintain thorough documentation of all account activities.
Provide recommendations to improve collection processes and account resolution strategies.
Exhibit a cooperative, professional, and positive attitude toward clients, management, and coworkers.
Meet department productivity and quality standards.
Minimum 3 years of experience in healthcare billing/collections, medical collection agency, or customer service focused on healthcare collections.
Solid understanding of hospital A/R account processes and the hospital revenue cycle.
Proficiency in PC-based Windows environments.
Strong knowledge of Microsoft Word and Excel for reporting and documentation.
College degree, healthcare billing trade school, or insurance claims experience preferred in lieu of formal hospital experience.
Excellent written and verbal communication skills.
Ability to adapt to change and work in a fast-paced environment.
Detail-oriented, highly organized, and capable of multi-tasking.