Account Representative
Account Representative
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Prime Healthcare is an awardwinning health system headquartered in Ontario California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nations leading health systems with nearly 50000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation a 501(c)3 notforprofit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
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: 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 followup on all authorizations and specialty referrals. Maintains a current knowledge of contracts and state Workers 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 Hospitals receivables. Proactively works with payers and inhouse resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate state 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 followup and further revenue collection as needed.
#LIBF3
Qualifications
EDUCATION EXPERIENCE TRAINING
1. Ability to multitask prioritize needs to meet required timelines
2. Analytical mathematical and problemsolving 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 thirdparty 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
#LIAM6
Required Experience:
Unclear Seniority
Employment Type
Full-Time
