Account Representative

Oct 02
Contract
Bellaire, Texas

Account Representative (Healthcare)                 

Bellaire, TX
Remote - (Need to be willing to report to the facility in Bellaire, TX if needed)

 

Overview:

USPRO is looking for a proven Account Representative to work with a healthcare client of ours in the Bellaire, TX area. This individual will initiate 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.
 

 

Employment type: Contract

Duration:6+ months

Openings: 3

Shifts: Days

 

 

 

Responsibilities:

  • 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 anycorrespondence 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, work queue, and departmental goals are met.
 

 

 

Qualifications:

  • Candidate needs to have out of state Medicaid payers experience.
  • Must have hospital billing collections. 
  • General government payer experience
  • 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.
  • High School Diploma-Required 2 years revenue cycle experience required
 
 

SUBMIT RESUME

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