Job Description: Patient Account Specialist Senior (Onsite - Houston, TX)

Location: Houston, TX
Job Type: Contract, Onsite
Schedule: Monday-Friday, 9:00 AM to 5:00 PM
Hours per Week: 40
Duration: Approximately 3 months

Position Summary

The Patient Account Specialist Senior provides advanced medical collection and account resolution services. This role is responsible for managing accounts placed for collection, handling patient and insurance inquiries, resolving outstanding balances, and ensuring compliance with all federal, state, and internal guidelines. Success in this position requires strong customer service experience, a deep understanding of healthcare billing and collections, and the ability to work efficiently in a fast-paced environment.

Experience Required:

• 3-5 years in a healthcare-focused customer service or collections environment (call center or collection agency).

• High School Diploma/GED not required.

Key Responsibilities

Medical Collections & Account Resolution

• Perform collection activities related to insurance, patient balances, denials, and account discrepancies.

• Collect outstanding balances from commercial and government insurance payers, ensuring accurate reimbursement.

• Research and resolve denied or underpaid claims according to payer guidelines.

• Maintain current knowledge of payer billing rules, appeal processes, reimbursement methodologies, and claim submission standards.

• Review EOBs, payer portals, and claim documentation to support account resolution.

Patient & Insurance Communication

• Handle inbound patient and insurance calls professionally and promptly.

• Provide clear and accurate information regarding account status, billing issues, and next steps.

• Promote positive patient relations while maintaining confidentiality and respect for patient rights.

Documentation & Workflow Management

• Update and document account activity accurately within the collections system.

• Ensure timely resolution and follow-up on all assigned accounts.

• Meet daily productivity, quality, and performance standards.

• Identify trends impacting reimbursement and communicate issues to leadership.

Required Skills & Competencies

• Strong understanding of healthcare billing and collections

• Insurance follow-up and reimbursement knowledge

• Familiarity with standard billing forms, EOBs, and payer filing requirements

• Ability to analyze account issues and resolve discrepancies independently

• Excellent communication and customer service skills

• Strong attention to detail and documentation accuracy

• Ability to work within productivity and quality standards