15754 Patient Account Representative - Collections (Remote), Plano, TX, 3 Months contract
Sigma Inc is currently looking for an Patient Account Representative - Collections to work remotely with our team located in Plano, TX.
This is a Fully remote, but if candidates are local to Plano, TX they will likely be asked to come into the office to assist with paper claims if needed (once a month or so). Workers will pick an 8 hour schedule and stick to it. They can start between 7A - 8:30A CST and be done between 3:30P - 5P CST.
Description:
The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account Representative - collections provides outstanding customer service to customers and vendors through effective and timely communication.
Roles and Responsibilities:
Sigma Inc is currently looking for an Patient Account Representative - Collections to work remotely with our team located in Plano, TX.
This is a Fully remote, but if candidates are local to Plano, TX they will likely be asked to come into the office to assist with paper claims if needed (once a month or so). Workers will pick an 8 hour schedule and stick to it. They can start between 7A - 8:30A CST and be done between 3:30P - 5P CST.
Description:
The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account Representative - collections provides outstanding customer service to customers and vendors through effective and timely communication.
Roles and Responsibilities:
- Under general supervision, identify and resolve routine outstanding claims.
- Generate and analyze diverse reports and work lists in the identification and resolution of general patient account issues.
- Assist in the resolution of outstanding payments from past due accounts.
- Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data.
- Perform all responsibilities in compliance with company policies and procedures; ensuring timely and complete documentation of activities performed.
- May serve as a point of contact for customers and/or external vendors in response to inquiries and unresolved issues.
- May mentor other staff as applicable.
- Assist with various projects as assigned by direct supervisor. Other duties as assigned.
- High School Diploma required.
- This is not an entry level Collections position, or a call-center collections role.
- Candidates must have at least 2-4 years of prior Revenue Cycle experience as they will be assisting with various insurance collections projects.
- Ideal candidate will have minimum of 4 years or more of experience with claim edits, claim rejections, working with a clearing house, etc.
- Must be able to read EOBs, understand the difference between different denials, and medical coding.
- If candidate has experience only taking self-pay calls, or collecting directly from patient they will not be a good fit for this role.
- Must have experience with Commercial and government insurance, following up on claims, working through payor portals ,etc.
- This role is highly analytical and can require lots of research.
- Experience utilizing Athena or Acumen EPIC systems highly preferred.
- Must have experience with Medicare / Medicaid collection.
- Need to have solid A/R Revenue Cycle background.
- Experience with medical billing would be a bonus and help tremendously with the role.
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