Account Representative (Hospital)

Full Time
Bellaire, TX 77401
Posted
Job description

Job Post: Account Representative (Hospital)

Duration: 04 Months

Location: 6621 Fannin St, MC Houston Texas 77030

Pay Rate: $20-22/hr on W2(No Benefits)

Candidate Must Have :

1) Have you taken COVID vaccination with Booster:

2) Do you have Immunizations vaccination track record of MMR, TDap, Varicella, Hep B:

3) Revenu cycle, collection, Account rep

  • Initiates calls or online web contact to payors or guarantors to verify receipt of claims/statements and collect on

outstanding accounts receivables as specified by current collection policies and procedures

  • Documents follow-up activities, conversations with payors/guarantors, information obtained via the web contact, and any

correspondence in the account notes.

  • Ensures payments received by third party payors are correct and the correct contractual discounts/allowances have been

applied according to the contract matrix or government reimbursement rates. Ensures that all accounts associated with
that guarantor and payor relationship are resolved.

  • Analyzes and assesses accounts for outstanding balances and makes prudent decisions on appropriate actions needed to

resolve the balance.

  • Identifies and reports inaccurate reimbursement and contractual trends to Sr. Reps, Team Lead, or Manager.
  • Refers problem accounts to Sr. Rep, Team Lead or Manager prior to accounts becoming 60 days old. Documents the issues

in detail and refers to Sr. Rep, Team Lead or Manager with a recommendation of action needed. Provides continual
follow-up.

  • Assists with special projects to ensure that collection, workqueue, and departmental goals are met.

Hospital Revenue Cycle and Insurance Collections experience with commercial payers – i.e BCBS, UHC, Cigna, and Aetna – is required. This includes appealing insurance claim denials, underpayments, and understanding root cause analysis of insurance related activities. Pediatric facilities experience is a PLUS. Experience with larger facilities and have a track record of being able to adapt to both quality and productivity standards. Applicants who do not have Hospital insurance collections experience and a minimum of 2 years of current job history will not be considered.

Skills:

  • General knowledge of government, commercial and managed care reimbursement methodologies and understanding of all

federal, state, and local legal aspects of collection regulations.

  • The knowledge of how managed care plans work and the requirements for insurance coverage and benefits.
  • Ability to communicate effectively both oral and written, good interpersonal skills; decision-making skills; professional

courtesy; the ability to operate a PC and general office equipment.

  • Account Representatives must have a strong math aptitude in order to be able to verify the appropriate reimbursement

based upon the contract terms, benefits and/or government regulations.

Education:

High School Diploma-Required 2 years revenue cycle experience Required

Languages: English Read Write Speak

Job Types: Full-time, Contract

Salary: $20.00 - $22.00 per hour

Schedule:

  • 8 hour shift

Ability to commute/relocate:

  • Bellaire, TX 77401: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • 1) Have you taken COVID vaccination with Booster:
  • 2) Do you have Immunizations vaccination track record of MMR, TDap, Varicella, Hep B:

Education:

  • High school or equivalent (Required)

Experience:

  • revenue cycle: 3 years (Required)
  • Medical collection: 2 years (Required)
  • Account representative: 2 years (Required)

Work Location: One location

Speak with the employer
+91 +18325090762

jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs