Current jobs related to Account Representative - Houston, Texas - Houston Methodist
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Account Representative
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National Account Representative
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Account Representative
1 month ago
We are seeking a highly skilled and detail-oriented Account Representative to join our team at Houston Methodist. In this role, you will be responsible for resolving outstanding third-party primary and secondary insurance claims for professional services. Your expertise in collections activities, denial trends, and payor reimbursement policies will be essential in ensuring timely and accurate payments.
Key Responsibilities- Collaborate with management to reduce aging of accounts and provide verbal and written communication.
- Identify denial trends and notify supervisor and/or manager to prevent future denials and further delay in payments.
- Assist with knowledge sharing, payor and department cross-training, and provide support to other team members as advised by the manager and/or supervisor.
- Complete special projects to improve team performance, as assigned.
- Ensure protection of private health and personal information, adhering to all Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations.
- Three years of physician billing experience, preferably in a multi-specialty physician practice.
- High School diploma or equivalent education.
- Ability to effectively communicate with patients, physicians, family members, and co-workers in a manner consistent with a customer service focus and application of positive language principles.
- In-depth knowledge of Current Procedural Terminology, 4th Edition (CPT-4), International Classification of Diseases Ninth Revision (ICD-9), International Classification of Diseases Tenth Revision (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) coding.
- Extensive knowledge of billing, collections, reimbursement, contractual agreements, and the appeals process.
- Understanding of revenue cycle fundamentals.
- Ability to follow-through and handle multiple tasks simultaneously.
- Excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff.
- Good judgment in handling of accounts and ability to apply a professional approach in dealing with patients and insurance companies.
- Sharp analytical abilities in order to resolve patient accounts in a timely and correct manner.
- Proficient computer skills and ability to learn and navigate multiple software programs.
As a valued member of our team, you will have the opportunity to work in a dynamic and supportive environment, with a focus on delivering exceptional patient care and service. We offer competitive compensation and benefits, as well as opportunities for professional growth and development.
