Account Representative - Hospital/Government Payor Collections - Houston, TX

 
Position: Account Representative - Hospital/Government Payor Collections - Houston, TX

Job ID: 145635

Location: US-TX-Houston

Department: PFS AR MANAGEMENT -HB COMM

Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for an Account Representative who can thrive in a fast-paced hospital environment. In this position you will follow-up on aged accounts receivable to help ensure continuity of cash flow and to help secure resolution of account balances. We need someone who has knowledge of government, commercial and managed care reimbursement guidelines.

 

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Responsibilities :

Job Duties & Responsibilities

  • Initiates contact with guarantors/third party payors to collect on outstanding receivables
  • Reviews, monitors and maintains accounts receivable at an acceptable level
  • Ensures that all Third Party Payor claim filing deadline appeals are submitted timely and efforts to resolve claim denials for timely filing are exhausted prior to submitting as a write off or patient responsibility
  • Maintains Accounts Receivable by following established Departmental Policy & Procedures, Workflow, and Departmental Goals


Qualifications:

Requirements

  • High school diploma
  • A minimum of two (2) years in collections and/or insurance follow-up, preferably in a business office setting
  • College degree is preferred
  • Knowledge of government, commercial and managed care reimbursement guidelines
  • Familiarity with all federal, state and local legal aspects of collection activities
  • Ability to communicate effectively both oral and written and good interpersonal skills
  • Decision-making skills
  • Professional courtesy

Ability to operate a PC and general office equipment



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