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VS

Patient Account Specialist Senior

Veracity Software Inc
  • 🇺🇸 United States
  • On-site
  • Senior
  • 10 months ago
10 months ago
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Patient Account Specialist Senior
Location: 1600 Foster Street, Lake Charles, LA 70601
Employment Type: Contractor – Onsite
Openings: 1
Duration: 91 Days
Schedule: Monday–Friday, 8 hours/day

Education Requirement:HS/GED NOT required
Medical Requirements: Required (per client process)
Skills:Collections, Insurance, UB-04, HCFA-1500, Reimbursement, Denials, Billing, Hospital Revenue Cycle, AR, TLRA
ThePatient Account Specialist Senior is responsible for performing advanced collection activities to ensure accurate and timely reimbursement from commercial, governmental, and third-party payers. This role requires strong knowledge of inpatient and outpatient billing (UB-04, HCFA-1500), insurance claims processing, denial management, payer guidelines, and reimbursement methodologies.
The specialist works extensively with multi-facility hospital billing, payer portals, and TLRA collections workflows. This role requires a high level of professionalism, accuracy, communication skills, and adherence to federal, state, and client-specific collection requirements.
Key Responsibilities
Insurance & Third-Party Collections
  • Collect balances from commercial, governmental, and third-party payers following payer-specific processes.
  • Work inpatient and outpatient billing usingUB-04 andHCFA-1500 billing forms.
  • Identify denied or underpaid claims and resolve them within payer turnaround guidelines.
  • Maintain in-depth knowledge of payer contracts, claim processing rules, reimbursement methodologies, and appeal procedures.
  • Review EOBs and ensure correct interpretation for proper payment application.
Denials & Resolution
  • Research, appeal, and resolve claim denials and underpayments.
  • Track trends causing recurring denials or delays in reimbursement.
  • Communicate identified issues and recurring payer barriers to leadership.
TLRA Collection Unit Responsibilities
  • Perform collection activities for accounts placed inTLRA inventory (both active AR and Client).
  • Communicate professionally with patients, clients, vendors, and external reimbursement partners.
  • Follow all TLRA, client, state, and federal regulations governing healthcare collections.
Documentation & Compliance
  • Document all interactions, findings, and actions thoroughly and accurately in the appropriate systems.
  • Maintain compliance with OneCHRISTUS competencies: Leader of Self, Leader of Others, and Leader of Leaders.
  • Handle sensitive financial information with confidentiality and professionalism.
Required Qualifications & Skills
  • Experience in a multi-facility hospital business office environment (required).
  • Experience withinpatient & outpatient billing using UB-04 and HCFA-1500 forms.
  • Insurance collections experience required.
  • Strong knowledge of payer claim processing, appeals, and reimbursement models.
  • Ability to use payer portals and interpret EOBs.
  • Strong communication skills and ability to work with patients and external partners.
  • Experience working with AR collections and TLRA processes preferred.
  • Strong documentation accuracy and attention to detail.

Recruiter Submission Template –

Full Name:
Degree (include degree, university, and completion year):
Years of Experience in Hospital Business Office / Multi-Facility Billing:
Experience with UB-04 Billing (Yes/No – details):
Experience with HCFA-1500 Billing (Yes/No – details):
Years of Insurance Collections Experience:
Experience Working with Commercial & Government Payers (Yes/No – details):
Experience Resolving Denials & Underpayments (Yes/No – details):
Experience with Payer Portals / EOB Interpretation (Yes/No – details):
Experience in TLRA Collections or Similar Bad Debt/AR Workflows (Yes/No – details):
Familiarity with Inpatient & Outpatient Billing Requirements (Yes/No – details):
Experience Documenting AR/Collection Activity Accurately (Yes/No):
Motivation / Reason for the Role:
Reason for Interest in This Role:
Available Start Date:
Requested Time Off (if any):
Contact Number:
Email ID:
LinkedIn Profile:
Full Address (City, State, ZIP):
Notice Period (Weeks):
Current Work Authorization (US Citizen / GC / H1B / Other):
Expected Hourly Rate (W2):
Interview Availability (CST):
Is the Candidate Local to Lake Charles, LA and ready to work onsite? (Yes/No):

Patient Account Specialist Senior · Veracity Software Inc

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