Account Representative
Prime Healthcare, Harlingen, TX, United States
Overview
We are seeking an
Account Representative,
sometimes referred to as a Patient Financial Services Representative, or Patient Account Services Representative. The Account Representative is responsible for accurately posting and reconciling daily payments, applying contractual adjustments, and ensuring patient accounts reflect correct and timely reimbursement. The Account Representative analyzes insurance payments for compliance with managed care contracts and state and federal regulations, resolves underpayments or denials, distributes billing and correspondence appropriately, and provides professional support to patients and internal departments.
Shifts Available:
Days
Employment Type:
Full-time
Hours:
8-hour shifts
Location:
Harlingen Central Billing Office – Harlingen, TX
Here are some of the benefits of working at Prime Healthcare:
Health, dental, and vision insurance options
Paid vacation, sick time and holidays
Bereavement leave, FMLA and other leave options
Employer 401K options
Tuition reimbursement options
Life, disability, and other insurance options
Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
Responsibilities Essential Duties and Responsibilities (includes, but not limited to):
Accurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems
Analyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with state and federal regulations, including Worker’s Compensation fee schedules
Identify, investigate, and elevate underpayments or denials while collaborating with payers and internal departments to optimize revenue collection
Distribute billing appropriately, manage hospital-related incoming and outgoing mail, and promptly correct mailing discrepancies
Provide professional, tactful communication when assisting patients, families, and internal stakeholders regarding account inquiries and payment matters
Qualifications Before we go any further, we do have some deal-breakers. You must have:
EDUCATION, EXPERIENCE, TRAINING
Ability to multi-task, prioritize needs to meet required timelines
Analytical, mathematical and problem-solving skill preferred
Customer Services experience preferred
Effective written and verbal communication skills
Experience in accounts payable, accounts receivable or cashier experience preferred
Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred
High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
Knowledge of basic understanding medical coding and third-party operating procedures and practices
Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience preferred
Medical and Insurance terminology essential
Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Account Representative,
sometimes referred to as a Patient Financial Services Representative, or Patient Account Services Representative. The Account Representative is responsible for accurately posting and reconciling daily payments, applying contractual adjustments, and ensuring patient accounts reflect correct and timely reimbursement. The Account Representative analyzes insurance payments for compliance with managed care contracts and state and federal regulations, resolves underpayments or denials, distributes billing and correspondence appropriately, and provides professional support to patients and internal departments.
Shifts Available:
Days
Employment Type:
Full-time
Hours:
8-hour shifts
Location:
Harlingen Central Billing Office – Harlingen, TX
Here are some of the benefits of working at Prime Healthcare:
Health, dental, and vision insurance options
Paid vacation, sick time and holidays
Bereavement leave, FMLA and other leave options
Employer 401K options
Tuition reimbursement options
Life, disability, and other insurance options
Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
Responsibilities Essential Duties and Responsibilities (includes, but not limited to):
Accurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems
Analyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with state and federal regulations, including Worker’s Compensation fee schedules
Identify, investigate, and elevate underpayments or denials while collaborating with payers and internal departments to optimize revenue collection
Distribute billing appropriately, manage hospital-related incoming and outgoing mail, and promptly correct mailing discrepancies
Provide professional, tactful communication when assisting patients, families, and internal stakeholders regarding account inquiries and payment matters
Qualifications Before we go any further, we do have some deal-breakers. You must have:
EDUCATION, EXPERIENCE, TRAINING
Ability to multi-task, prioritize needs to meet required timelines
Analytical, mathematical and problem-solving skill preferred
Customer Services experience preferred
Effective written and verbal communication skills
Experience in accounts payable, accounts receivable or cashier experience preferred
Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred
High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
Knowledge of basic understanding medical coding and third-party operating procedures and practices
Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience preferred
Medical and Insurance terminology essential
Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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