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