Patient Account Rep II THIRD PARTY - Billing and Initiatives - Fulltime, Days

Texas Health Resources, Inc.; United States; Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

401k

PTO

Medical insurance

Dental insurance

Paid Parental Leave

Flex spending

Tuition reimbursement

Student Loan Repayment Program

Job summary

Texas Health Resources, Inc. is seeking a Patient Account Representative II / Third Party to join our remote contact center in Arlington, TX, with onsite training as needed.

This full-time role focuses on insurance verification, eligibility and benefits, and collaboration with management on process improvements. You will handle trending, reporting, and workload coordination, aiming for high accuracy and timely responses while maintaining productivity targets in a fast-paced, high-volume

Qualifications

• High School Diploma or equivalent is required.
• At least six months of experience in hospital business operations accounts receivable is required.

Responsibilities

• Insurance verification, eligibility and benefits.
• Assist management with trending, tracking, reporting, and process improvement.
• Verify, load and monitor commercial and miscellaneous coverage reported by customer service, ECI, Medlytix and bad debt agencies.
• Organize and coordinate workflow and meet deadlines while adapting to changes in processes.
• Maintain productivity standard of 250 accounts per week; target Quality Review score of 3.0; scores below 2.7 considered below average.
• Pull weekly reports for vendor review and keep information organized and accessible.
• Identify trends in insurance eligibility/verification and escalate to management for corrections as needed.
• Timely escalation of issues to supervisor or management.

Skills

Insurance verification

Eligibility verification

Accounts receivable

Education

High School Diploma or equivalent

Job description

Patient Account Representative II / Third PartyFast-paced, high-volume clinic looking for a top skilled Patient Account Rep II/Third Party Representative

Work location: 612 East Lamar Blvd Arlington, Texas 76011

Work environment:Remote Contact Center – onsite training may be required

Work hours: Full-time, 40 hours weekly; Monday thru Friday, (8am – 5pm)

Department Highlights

• Flexible Work Environment and Scheduling
• Fun, Positive Team Culture, with Growth opportunities
• Supportive leadership and continuous learning

Here’s What You Need

• High School Diploma or equivalent (REQUIRED)
• Six Months of experience in Hospital Business Operations Account Receivables (REQUIRED)

What You Will Do

• Insurance verification, eligibility and benefits
• Assist management with trending, tracking, reporting, process improvement Verify, load and ill commercial and miscellaneous coverage reported by customer service, ECI ,Medlytix and bad debt agencies. The accounts are referred by UIC, email, web reports, and spreadsheet. As well as back up for Medicare/Medicare HMO, Tricare and VA Coverage Discovery PAR.
• Organize and coordinate workflow as well as meeting deadlines fand keeping up with changes in processes, etc
• Productivity standard is 250 accounts per week. Goal for Quality Review score is 3.0 with scores falling below 2.7 considered below average.
• Pulling weekly reports for vendor to review and resolve and keeping information organized and accessible.
• Identify trends related to insurance eligibility, verification and loading. Trends should be elevated to the management or appropriate departments for corrections as needed.
• Issues should be trended and provided to supervisor or management timely.

Additional perks of being a Texas Health employee

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.

Strong Unit Based Council (UBC)

• A supportive, team environment with outstanding opportunities for growth.

Entity Highlights

At the company, our mission is “to improve the health of the people in the communities we serve.” We are one of the largest faith-based, nonprofit health systems in the United States with a team of more than 23,000 employees of wholly owned/operated facilities plus 2.200 employees of consolidated joint ventures in the greater Dallas/Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding.

Explore ourTexas Health careers sitefor info likeBenefits,Job Listings by Category, recentAwardswe’ve won and more.

Do you still have questions or concerns?Feel free to email your questions .

Originally posted on Himalayas