Patient Account Specialist

Senior Patient Account Specialist

Houston, TX (Onsite)

3-Month Contract

Sigma Systems is seeking an experienced Senior Patient Account Specialist to support a leading healthcare revenue cycle operation in Houston, TX. This position is ideal for professionals with a strong background in medical collections, hospital accounts receivable, insurance follow-up, and denial resolution.

The successful candidate will play a key role in resolving outstanding healthcare claims, reducing aged receivables, and ensuring timely reimbursement while delivering excellent service to patients, clients, and payer organizations.

What You'll Do

Manage and resolve outstanding hospital and healthcare accounts receivable.

Perform insurance follow-up and collections activities on unpaid and underpaid claims.

Investigate and resolve claim denials, payment discrepancies, and reimbursement issues.

Work directly with insurance carriers, patients, reimbursement vendors, and healthcare clients to secure payment.

Utilize payer portals, websites, phone calls, and written correspondence to research account status and obtain claim resolution.

Prepare, submit, and monitor appeals for denied claims.

Collaborate with coding, clinical, and billing teams to support appeals related to coding and medical necessity.

Identify denial trends and recommend process improvements to reduce future payment delays.

Maintain accurate account documentation and follow-up activities.

Manage multiple work queues while meeting productivity and quality standards.

Ensure compliance with all client requirements and applicable federal and state regulations.

Qualifications

Minimum 3 years of experience in medical collections, healthcare accounts receivable, hospital billing, insurance follow-up, or revenue cycle operations.

Strong understanding of hospital and/or physician practice billing processes.

Experience working denied claims, aged accounts receivable, and payment resolution.

Knowledge of commercial, governmental, and managed care insurance reimbursement processes.

Excellent communication and customer service skills.

Strong analytical and problem-solving abilities.

Ability to prioritize multiple accounts and work efficiently in a fast-paced environment.

Technical Skills

Proficiency with Microsoft Word, Excel, and Windows-based applications.

Experience using payer portals and insurance verification systems.

Familiarity with healthcare billing systems and electronic medical records preferred.

Preferred Qualifications

Previous experience in a hospital business office, healthcare revenue cycle department, medical billing company, or healthcare collection agency.

Insurance claims processing experience.

Healthcare billing certification, revenue cycle training, or related healthcare education.

Why Apply?

Opportunity to work with a respected healthcare organization.

Gain valuable experience in advanced healthcare revenue cycle operations.

Fast-paced environment with meaningful impact on reimbursement and financial performance.

Excellent opportunity for experienced medical billing, collections, and AR professionals.

Location:

Houston, TX (Onsite)
Schedule:

Monday-Friday
Duration:

3-Month Contract

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