Medical Billing & Reimbursement Specialist

Centinela Hospital Medical Center; Harlingen (TX); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid vacation, sick time and holidays

FMLA and other leave options

401K options

Tuition reimbursement

Life and disability insurance

Many other benefits

Job summary

Prime Healthcare is hiring a full-time Billing Clerk in Harlingen, TX. The role involves posting and reconciling daily payments, applying contractual adjustments, and maintaining patient account balances within hospital systems.

You will analyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with regulations; identify underpayments or denials and collaborate with payers and internal teams to optimize revenue.

Qualifications

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

Responsibilities

• Post and reconcile daily payments, apply adjustments, and maintain patient balances.
• Analyze insurance payments and managed care contracts for accurate reimbursement and compliance.
• Identify and escalate underpayments or denials with payers and internal teams to optimize revenue.
• Distribute billing, manage hospital mail, and correct mailing discrepancies.
• Communicate professionally with patients, families, and internal stakeholders about account inquiries and payments.

Skills

Multi-tasking

Analytical thinking

Customer service

Communication skills

Billing experience

Medical terminology

Education

High School Diploma or GED

Job description

Prime Healthcare is hiring a full-time Billing Clerk in Harlingen, TX. The role involves posting and reconciling daily payments, applying contractual adjustments, and maintaining patient account balances within hospital systems.

You will analyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with regulations; identify underpayments or denials and collaborate with payers and internal teams to optimize revenue.