Prime Healthcare

Acquires and reorganizes underperforming hospitals

Account Representative

Clinical Support & Patient AdministrationPosted on Nov 10

ContractHarlingen, TX, USANo salary listed

About the Job

Requirements

Ability to multitask and prioritize needs to meet required timelines.
Analytical, mathematical, and problem-solving skills are preferred.
Customer service experience is preferred.
Effective written and verbal communication skills are required.
Experience in accounts payable, accounts receivable, or cashiering is preferred.
Familiarity with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology are preferred.
A high school diploma or GED equivalent is required.
Knowledge of medical coding and third-party operating procedures and practices is required.
Knowledge of multiple insurance billing requirements is preferred, along with 6 months to 1 year of billing experience.
Medical and insurance terminology is essential.

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 escalate 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.

Desired Qualifications

Analytical, mathematical, and problem-solving skills.
Customer service experience.
Experience in accounts payable, accounts receivable, or cashiering.
Familiarity with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology.
Knowledge of multiple insurance billing requirements and 6 months to 1 year of billing experience.

Overview

Shifts Available: Days

Employment Type: Full-time | Temporary

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 escalate 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

1. Ability to multi-task, prioritize needs to meet required timelines
2. Analytical, mathematical and problem-solving skill preferred
3. Customer Services experience preferred
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 preferred
10. 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

Temporary
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

#LI-JJ3

About the Company

Prime Healthcare

Acquires and reorganizes underperforming hospitals

Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.

Company size: 5,001-10,000
Company stage: Debt Financing
Total funding: $2.2B
Headquarters: Ontario, CA
Founded: 2001

Recently Posted Jobs

Explore more opportunities at Prime Healthcare

See more jobs