Job description

Account Representative for Local Hospital $22/HOUR!

Location: Houston, TX

Schedule: Shift will be any 8hr period between 7-6p. 98% remote because there will be occasional in-office team trainings or events.

Job Duties:

• 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.

Requirement:

• High School Diploma-Required
• 2 years revenue cycle experience Required
• Hospital Revenue Cycle and Insurance Collections experience for government entities – Traditional Medicaid and Managed Medicaid Plans – is required.
• This includes appealing insurance claim denials, underpayments, and understanding root cause analysis of insurance related activities. Billing and general pediatric facilities and DRG reimbursement experience is a PLUS.

**Must be up to date with COVID-19 Vaccinations and Boosters**

Job Type: Full-time

Pay: $22.00 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Day shift

Application Question(s):

• Are you up to date on Covid Vaccine and Boosters?

Education:

• High school or equivalent (Preferred)

Experience:

• Account Representative: 1 year (Preferred)
• Medical revenue cycle: 2 years (Required)

Work Location: Remote

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