Account Representative

Harlingen Medical Center; Harlingen (TX); Presencial; USD 25 000 - 33 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health, dental, and vision insurance

Paid vacation, sick time and holidays

Employer 401K options

Tuition reimbursement

Life and disability insurance

Many other benefits

Resumo da oferta

Harlingen Medical Center is seeking a Full-Time Billing Clerk for its Harlingen, TX facility. You will post payments, reconcile accounts, and manage routine billing tasks within hospital systems.

You will analyze insurance payments, work with payers on denials, and communicate with patients and staff to resolve billing inquiries. Prior billing or cashier experience is preferred and familiarity with medical terminology is helpful.

Qualificações

• Ability to multi-task and prioritize to meet deadlines.
• Analytical, mathematical, and problem-solving skills.
• Customer服务 experience preferred.
• Excellent written and verbal communication skills.
• Experience in accounts payable, accounts receivable or cashier experience preferred.
• Familiar with medical billing requirements and knowledge of insurance, coding, and medical terminology is preferred.

Responsabilidades

• Post and reconcile daily incoming payments and apply contractual adjustments; maintain patient account balances in hospital systems.
• Analyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with regulations.
• Identify, investigate and escalate underpayments or denials; collaborate with payers and internal departments to optimize revenue.
• Distribute billing, manage hospital mail, and correct mailing discrepancies.
• Provide professional, tactful communication to patients, families, and internal stakeholders regarding account inquiries and payment matters.

Conhecimentos

Multi-tasking

Analytical skills

Customer service

Written and verbal communication

Billing experience

Medical terminology

Formação académica

High School Diploma or GED

Descrição da oferta de emprego

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

• 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

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