Account Representative
Prime Healthcare
Job Title
Harlingen Central Billing Office – Harlingen, TX
Job Description
Shifts Available: Days
Employment Type: Full-time
Hours: 8-hour shifts
Responsibilities
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 escalate 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
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
Pay Transparency
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
Employment Status
Full Time
Shift
Days
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:
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