Account Representative - TCP Account Resolution

 
Position: Account Representative - TCP Account Resolution

Job ID: 143188

Location: US-TX-Houston

Department: MSO-Central Business Office

Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 7a - 3:30p

About Texas Children's Hospital

Texas Children’s Pediatrics is the nation’s largest primary pediatric care network with more than 200 physicians dedicated to the health care needs of infants to teenagers in nearly 50 locations throughout the greater Houston area. As part of our goal to build a community of healthy children, Texas Children's Pediatrics Community Cares Program provides trusted, high-quality pediatric medical services for children who otherwise would seek care from emergency centers or possibly go without care or treatment due to low family incomes and/or lack of health insurance.   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 in our Central Business Office who can thrive in a fast-paced primary care 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 :

  • 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:

  • 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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