Account Representative - Temporary

Analyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with state and federal regulations, including Worker’s Compensation fee schedules. Responsibilities: Accurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems.

Overview:

Shifts Available: Days

Employment Type: Full-time | Temporary

Hours: 8-hour shifts

Location: Harlingen Central Billing Office – Harlingen, TX

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:

1. Ability to multi-task, prioritize needs to meet required timelines
2. Analytical, mathematical and problem-solving skill preferred
3. Customer Services experience preferred
4. Effective written and verbal communication skills
5. Experience in accounts payable, accounts receivable or cashier experience preferred
6. Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred
7. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
8. Knowledge of basic understanding medical coding and third-party operating procedures and practices
9. Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience preferred
10. 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

 

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Employment Status: Temporary Shift: Days Equal Employment Opportunity: