Pain Specialists of America
Overview
Pain Specialists of America
("PSA" or "Company") is a Texas-based, multisite comprehensive pain management company that includes over 20 locations, three ASCs, a CLIA-certified laboratory located New Braunfels. PSA is growing rapidly. We require extremely competent, talented professionals who can support the business and help it achieve its strategic objectives. The Patient Account Specialist ("Specialist") and all PSA employees must demonstrate an absolute commitment to excellence, respect and delivery of the highest quality patient care. The Patient Account Specialist must maintain all technical standards to meet continuous quality improvement needs, financial and delivery requirements.
Position Summary The Patient Account Specialist is responsible for managing assigned patient accounts from charge posting through final resolution, with a strong focus on patient financial engagement, office credits, and balance resolution. This role supports both clinic and ASC operations within a high-volume interventional pain management environment with a focus on a positive patient financial experience.
Detailed Responsibilities Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Accounts Receivable & Claims Resolution
Manage assigned patient accounts to ensure timely and accurate reimbursement
Review, analyze, and resolve unpaid, underpaid, or denied claims resulting in a patient balance
Perform payer follow-up via portals, phone calls, and electronic work queues (if applicable)
Office Credits & Patient Financial Support
Perform cost estimate actions and provide proactive patient outreach for all self-pay accounts and owed balances over $250
Handle inbound and outbound patient financial calls, as well as calls from clinic and ASC offices
Complete office-generated financial requests including:
Moving or reallocating payments between patient accounts
Assisting with payment batch research and reconciliation
Verifying patient balances and resolving discrepancies
Set up and manage patient payment plans in eClinicalWorks (eCW) and HST
Respond to patient text messages or route inquiries to the appropriate department
Monitor and return calls from Billing Voicemail
Patient Balance Resolution & Communication
Review EOBs and patient statements as needed to ensure accurate patient responsibility
Explain balances, insurance process, and payment options clearly and empathetically
Facilitate timely resolution of patient balances while maintaining a high level of service
Compliance, Documentation & Productivity
Maintain compliance with payer contracts, CMS guidelines, and internal policies
Document all account activity clearly and accurately
Meet or exceed productivity, aging, and quality benchmarks
Participate in audits, process improvement initiatives, and cross-trainingOther duties as assigned
Requirements Required Qualifications
High school diploma or equivalent required
2+ years of medical AR or patient financial services experience
Knowledge of commercial and government payers, EOBs, and authorization impacts
Preferred Qualifications
Experience in interventional pain management and/or ASC billing
Experience with eClinicalWorks (eCW) and HST Pathways
Familiarity with CPT, modifiers, global periods, and place-of-service rules
Skills & Competencies
Strong attention to detail and analytical skills
Excellent written and verbal communication
Ability to manage high-volume workloads
Patient-centered and solution-focused mindset
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("PSA" or "Company") is a Texas-based, multisite comprehensive pain management company that includes over 20 locations, three ASCs, a CLIA-certified laboratory located New Braunfels. PSA is growing rapidly. We require extremely competent, talented professionals who can support the business and help it achieve its strategic objectives. The Patient Account Specialist ("Specialist") and all PSA employees must demonstrate an absolute commitment to excellence, respect and delivery of the highest quality patient care. The Patient Account Specialist must maintain all technical standards to meet continuous quality improvement needs, financial and delivery requirements.
Position Summary The Patient Account Specialist is responsible for managing assigned patient accounts from charge posting through final resolution, with a strong focus on patient financial engagement, office credits, and balance resolution. This role supports both clinic and ASC operations within a high-volume interventional pain management environment with a focus on a positive patient financial experience.
Detailed Responsibilities Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Accounts Receivable & Claims Resolution
Manage assigned patient accounts to ensure timely and accurate reimbursement
Review, analyze, and resolve unpaid, underpaid, or denied claims resulting in a patient balance
Perform payer follow-up via portals, phone calls, and electronic work queues (if applicable)
Office Credits & Patient Financial Support
Perform cost estimate actions and provide proactive patient outreach for all self-pay accounts and owed balances over $250
Handle inbound and outbound patient financial calls, as well as calls from clinic and ASC offices
Complete office-generated financial requests including:
Moving or reallocating payments between patient accounts
Assisting with payment batch research and reconciliation
Verifying patient balances and resolving discrepancies
Set up and manage patient payment plans in eClinicalWorks (eCW) and HST
Respond to patient text messages or route inquiries to the appropriate department
Monitor and return calls from Billing Voicemail
Patient Balance Resolution & Communication
Review EOBs and patient statements as needed to ensure accurate patient responsibility
Explain balances, insurance process, and payment options clearly and empathetically
Facilitate timely resolution of patient balances while maintaining a high level of service
Compliance, Documentation & Productivity
Maintain compliance with payer contracts, CMS guidelines, and internal policies
Document all account activity clearly and accurately
Meet or exceed productivity, aging, and quality benchmarks
Participate in audits, process improvement initiatives, and cross-trainingOther duties as assigned
Requirements Required Qualifications
High school diploma or equivalent required
2+ years of medical AR or patient financial services experience
Knowledge of commercial and government payers, EOBs, and authorization impacts
Preferred Qualifications
Experience in interventional pain management and/or ASC billing
Experience with eClinicalWorks (eCW) and HST Pathways
Familiarity with CPT, modifiers, global periods, and place-of-service rules
Skills & Competencies
Strong attention to detail and analytical skills
Excellent written and verbal communication
Ability to manage high-volume workloads
Patient-centered and solution-focused mindset
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