Account Recovery Specialist - Clinic

Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Premier Medical Resources (77040) is hiring for a Full-Time Accounts Recovery Specialist is responsible for providing medical collection services for Hospital systems and all associated Surgery Centers. Performing collection activities related to follow-up, account resolution and communication to patients, offsite associates, reimbursement vendors, and other external entities. This position utilizes a strong background in medical collection to successfully resolve accounts for collection. Associates in the collection units are expected to maintain knowledge of the overall collection work processes for both active AR and BD inventory. In addition, maintaining Patient and Physician satisfaction while adhering to all physician, state and federal guidelines.
ESSENTIAL FUNCTIONS:
• Ensures daily productivity standards are met
• Communicates and/or negotiates problematic accounts
• Contacts providers for verification of patient records
• Uploads and maintains data using 3rd party portal accounts such Asavaility
• Fulfills internal and external requests for outcome data, including developing special reports
• Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work
standards
• Provides effective collection services, ensuring the successful recovery of accounts in accordance with state
guidelines as well as Premier Medical Resources and Townsen Memorial Hospital business objectives
• Documents and updates patient account information in Recovery Cycle Management collection software system
timely and accurately to include appropriate account status
• Ensures all documentation is accurate and compliant with federal laws in terms of composition
• Handles inbound and outbound patient and/or carrier calls promptly and professionally, providing assistance and
resolution to account inquiries, issues, and requests
• Performs research and analysis of account issues and strives to resolve problems timely and accurately
• Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity
of patients and/or their families
• Reviews payment denials, underpayments, and payment take backs for appropriateness and guides resolution by
resubmission to the insurance carrier, patient billing, or appropriate adjustment
• Protects patient and family privacy rights and maintains confidentiality of patient records in accordance with policy,
procedure and HIPPA requirements
• Other duties as assigned
Accounts Recovery Specialist
KNOWLEDGE, SKILLS, AND ABILITIES:
• General knowledge of Revenue Cycle account recovery accounts.
• Knowledge of health insurance claims, billing, collection and resolution.
• Solid knowledge and utilization of PC and desktop applications to include Word and Excel.
• Knowledge of in and out of network insurances, Workers Compensation, insurance verification, and patient
responsibility.
• Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
• Knowledge of ICD-10 and CPT codes and procedures
EDUCATION AND EXPERIENCE:
• High School Diploma or GED
• Two (2) years of experience in medical account recovery
BENEFITS:

• 3 Medical Plans
• 2 Dental Plans
• 2 Vision Plans
• Employee Assistant Program
• Short- and Long-Term Disability Insurance
• Accidental Death & Dismemberment Plan
• 401(k) with a 2-year vesting
• PTO + Holidays

Please visit our website for more information:

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.