Veracity Software Pvt. Ltd. ยท 1 month ago
Patient Account Specialist Senior
Lake Charles, LA
Full-time
Onsite
Senior LevelVeracity Software Pvt. Ltd. is seeking a Patient Account Specialist Senior to perform advanced collection activities for accurate and timely reimbursement from various payers. The role involves extensive knowledge of billing processes, insurance claims, and compliance with healthcare regulations.
Information Technology & Services
Responsibilities
Collect balances from commercial, governmental, and third-party payers following payer-specific processes
Work inpatient and outpatient billing using UB-04 and HCFA-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
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
Perform collection activities for accounts placed in TLRA 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
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
Qualification
Required
Experience in a multi-facility hospital business office environment (required)
Experience with inpatient & 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
Strong documentation accuracy and attention to detail
Preferred
Experience working with AR collections and TLRA processes preferred
Company
Veracity Software Pvt. Ltd.
At Veracity, if you have an idea you want to validate, a product you need to build, or an existing product that needs optimization, our teams are trained to jump in wherever needed.
Founded in 2010
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase