Account Representative

Prime Healthcare•Weslaco, TX

8h•Onsite

About The Position

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. This is an on-site opportunity in Weslaco, Texas Shifts Available: Days (No Weekends or Holidays) Employment Type: Full-time Hours: 8-hour shift Location: Central Billing Office – Weslaco, 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/

Requirements

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

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