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Account Representative

2 months ago

Harlingen, Texas, United States Prime Healthcare Management Inc Full time
Job Summary

Prime Healthcare Management Inc is seeking a highly skilled Account Representative to join our team. As an Account Representative, you will be responsible for ensuring accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received.

Key Responsibilities

  • Post all incoming payments to correct patient accounts on a daily basis
  • Input and retrieve data from computer systems
  • Reconcile accounts daily
  • Apply payments to patient accounts accurately and efficiently
  • Distribute all billing to appropriate personnel
  • Review and perform follow-up on all authorizations and specialty referrals
  • Maintain a current knowledge of contracts and state Worker's Compensation fee schedules
  • Handle incoming and outgoing mail pertaining to the hospital
  • Proactively work with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment

Requirements

  • Ability to multi-task and prioritize needs to meet required timelines
  • Analytical, mathematical, and problem-solving skills
  • Customer service experience
  • Effective written and verbal communication skills
  • Experience in accounts payable, accounts receivable, or cashier experience
  • Familiarity with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology
  • High school graduate or GED equivalent required
  • Knowledge of basic understanding of 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

What We Offer

Prime Healthcare Management Inc is an equal employment opportunity employer. We prohibit discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. We also prohibit harassment of applicants or employees based on any of these protected categories.