Account Representative

Prime Healthcare; Harlingen (TX); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid vacation

Sick time

Holidays

Bereavement leave

FMLA

401K

Tuition reimbursement

Life insurance

Disability insurance

Job summary

Prime Healthcare in Harlingen, TX is seeking a full-time Billing Clerk to post and reconcile daily payments, analyze insurance payments, and ensure accurate patient balances in hospital systems.

The role requires strong math and analytical skills, experience with accounts payable/receivable or cashier tasks, and solid communication with patients and payers. On-site 8-hour daytime shifts with full benefits.

Qualifications

• Multi-tasking and prioritization to meet deadlines.
• Strong analytical and mathematical skills.
• Customer service experience preferred.
• Clear written and verbal communication.
• Experience with accounts payable/receivable or cashier tasks.
• Knowledge of medical terminology and insurance billing concepts.

Responsibilities

• Post and reconcile daily payments, apply adjustments, and maintain patient balances.
• Analyze insurance payments and contracts for correct reimbursement.
• Identify underpayments or denials and coordinate with payers.
• Distribute billing, handle hospital mail, and correct mailing discrepancies.
• Communicate professionally with patients, families, and internal staff about account questions.

Skills

Analytical thinking

Multitasking

Customer service

Written and verbal communication

Billing experience (A/R/A/P)

Medical terminology knowledge

Education

High School Diploma or GED

Job description

Overview

Shifts Available: Days

Employment Type: Full-time

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 elevate 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 timelines2. Analytical, mathematical and problem-solving skill preferred3. Customer Services experience preferred4. Effective written and verbal communication skills5. 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 preferred7. 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 practices9. Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience preferred10. 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

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: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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