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Prime Healthcare
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$35k-46k (estimate)
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Account Representative
Prime Healthcare
Prime Healthcare Harlingen, TX
$35k-46k (estimate)
Full Time | Hospital 6 Months Ago
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Prime Healthcare is Hiring an Account Representative Near Harlingen, TX

Responsibilities

The Account Representative is responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Distribution of all billing to appropriate personnel. Reviews and performs follow-up on all authorizations, and specialty referrals. Maintains a current knowledge of contracts and state Worker's Compensation fee schedules. Responsible for the handling of incoming and outgoing mail pertaining to the hospital. Needs to have ability to recognize and correct mailing errors immediately. Always uses proper tact and discretion in handling inquiries from patients and their families. The Account Representative is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital's receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate California and Federal regulations in order to assure compliance in payment practices. Responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Applies contractual adjustments to patient AR balances as needed. Manage and forward underpayments /denials to the appropriate departments for follow-up and further revenue collection as needed.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Ability to multi-task, prioritize needs to meet required timelines

2. Analytical, mathematical and problem-solving skills required

3. Customer Services experience required

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 required

10. Medical and Insurance terminology essential

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$35k-46k (estimate)

POST DATE

09/06/2022

EXPIRATION DATE

12/11/2022

WEBSITE

primehealthcare.com

HEADQUARTERS

NATIONAL CITY, CA

SIZE

1,000 - 3,000

FOUNDED

2001

TYPE

NGO/NPO/NFP/Organization/Association

REVENUE

$500M - $1B

INDUSTRY

Hospital

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Prime Healthcare is a California-based operator of 46 acute care hospitals that provides diabetes, joint replacement, pelvic health, rehabilitation and related services.

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The job skills required for Account Representative include Accounts Payable, Accounts Receivable, Collections, Customer Service, Managed Care, Medical Coding, etc. Having related job skills and expertise will give you an advantage when applying to be an Account Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Account Representative. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Account Representative positions, which can be used as a reference in future career path planning. As an Account Representative, it can be promoted into senior positions as an Account Services Representative, Sr. that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Account Representative. You can explore the career advancement for an Account Representative below and select your interested title to get hiring information.

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If you are interested in becoming an Account Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Account Representative for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Account Representative jobs

Account representatives take calls, field questions, and ensure any and all concerns a client might have are addressed by the sales and creative teams.

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A typical Account Representative earns the following wages (national and state).

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Build an optimized Account Representative resume quickly and easily using these skills.

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Step 3: View the best colleges and universities for Account Representative.

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