Account Control Technology


Healthcare Account Specialist - RCM - MVA

US-TX-Houston

Job ID: 2025-2428
Type: Full-Time
# of Openings: 1
Category: Healthcare Support
Houston, Texas

Overview

Work Location: This is a remote/work from home position 

Compensation:  $17-$20 DOE

Transworld Systems, Inc. is an industry leader for over 40 years, in providing business process outsourcing services including accounts receivable management, customer relationship management and back office services for a diversified customer base. Our 60,000 clients are empowered to successfully address immediate business needs, while facilitating long-term growth across the entire customer lifecycle.

Why should you consider TSI (part of TSI family of companies)?

• Work from home
• Paid training
• Team-oriented work environment
• Growth opportunity
• Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays!

Account Specialists are responsible for working assigned caseload of Healthcare claims accounts.

Essential duties and responsibilities:

• Contact insurance companies, employer and/or patients or their attorneys, (depending upon client), by phone, mail or fax to resolve claims
• Draft appeals and demands to insurance companies ensuring timely resolution and payment of claims, as well as argue verbally over the phone with insurance companies to get denials overturned and paid
• Utilize federal and state laws, statutes and settlement negotiations
• Maintain a working knowledge of assigned clients, states, and insurers
• Submit bills, (with or without medical records), to insurance companies electronically, by mail or fax
• Group accounts by payer and submit for claim status inquiries via web portals
• Request copy of cancelled checks from payers as needed
• Search internet databases for information on insurance company, employer, and patient when applicable
• Ability to work in fast paced environment and achieve monthly QA and productivity goals
• Ability to perform review on accounts for expected reimbursement to determine if additional payment should be pursued when applicable

• 2 years’ experience in Healthcare reimbursement, physician’s office, clinic, or a healthcare revenue cycle (claims, billing, coding, reimbursement etc.), role is required
• Ability to work independently
• Ability to work with various EHR software (example: EPIC, Cerner, Meditech etc.)
• Ability to work well under pressure
• Strong attention to detail
• Strong knowledge of Microsoft Office Suite (Word, Excel, Outlook etc.) required
• Strong analytical, problem-solving and conflict resolution skills
• Excellent oral and written communication skills; professional phone etiquette

Physical requirements:

• Normal, corrective vision range; ability to see color and to distinguish letters, numbers and symbols
• Frequently required to sit, stand, walk, talk, hear, bend and reach
• Ability to reach with hands and arms
• Constantly operates a computer and other office productivity machinery

Work conditions:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. You are acknowledging that you can perform the essential functions with or without a reasonable accommodation. The noise level in the work environment is usually moderately quiet. The work environment is primarily indoors. The position requires little to no travel.

This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced or delegated by management to meet the business needs of the company.

TSISP

PI277612444