PATIENT ACCOUNT SPECIALIST SENIOR

PATIENT ACCOUNT SPECIALIST SENIOR

LOCATION: Houston, TX 77092 | Onsite

COMPENSATION & SCHEDULE

• Pay Rate: $20.32–$21.77 per hour

• Schedule: Monday–Friday, 8:00 AM–5:00 PM

• Employment Type: Full-Time, Temporary-to-Permanent (Temp-to-Perm)

• Start Date: ASAP

ROLE IMPACT

The Senior Patient Account Specialist supports healthcare revenue cycle operations by resolving outstanding patient and insurance balances through effective medical billing, collections, and accounts receivable (A/R) follow-up. This position focuses on maximizing reimbursement, resolving claim discrepancies, and maintaining accurate account documentation while ensuring compliance with state and federal collection regulations. Success requires strong healthcare collections experience, consistent productivity, and professional communication with patients, insurance carriers, and internal teams.

KEY RESPONSIBILITIES

• Manage healthcare accounts receivable (A/R), including active accounts, bad debt (BD) collections, insurance follow-up, and self-pay balances to maximize recovery.

• Investigate unpaid, denied, underpaid, and overpaid medical claims; coordinate appeals, payment corrections, and reimbursement resolution with insurance carriers and internal departments.

• Handle inbound patient and insurance carrier calls, resolve billing inquiries, identify financial assistance opportunities, and establish appropriate payment arrangements.

• Maintain accurate account documentation, collection activity records, and claim statuses in revenue cycle and collection management systems while meeting daily productivity and quality standards.

• Review commercial insurance claims for contractual reimbursement accuracy, identify payment discrepancies, and support process improvements through account research and trend analysis.

MINIMUM QUALIFICATIONS

• 3–5 years of experience in healthcare billing, medical collections, insurance follow-up, hospital accounts receivable (A/R), or revenue cycle operations required. Patient access, registration, scheduling, or front-desk experience alone does not qualify.
• Experience in a healthcare-focused customer service or collections call center, handling insurance claims, billing inquiries, account resolution, and payment collections required.
• Working knowledge of hospital A/R processes, insurance payer requirements, medical claim follow-up, and collection regulations, with proficiency in Microsoft Word, Excel, and account management systems..

CORE TOOLS & SYSTEMS

• Meditech – Healthcare information and patient accounting system

• CollectLogix – Collection management software

• Microsoft Excel – Account tracking, reporting, and data analysis

• Microsoft Word – Documentation and correspondence

• Healthcare Revenue Cycle Management (RCM) and Accounts Receivable (A/R) systems

PREFERRED SKILLS

• Experience with physician billing, commercial insurance claims, payment variance analysis, and timely appeals processing.

• Familiarity with Six Sigma practices, reimbursement optimization, and healthcare collections performance metrics.

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