Team Leader, Account Representative - Patient Financial Services - Houston, TX

 
Position: Team Leader, Account Representative - Patient Financial Services - Houston, TX

Job ID: 143419

Location: US-TX-Houston

Department: PFS AR MANAGEMENT -PB GOVT

Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p M - F

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, a second community hospital opening in 2017. 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 a Team Lead Account Representative – someone who works well in a fast-paced setting. In this position, you will provide support to the area manager. You will respond to all customer inquiries regarding patient accounts; provide collection follow-up on all assigned accounts to ensure continuity of cash flow and the collection of every collectible dollar with efficient account resolution; ensure reimbursement is according to contractual commitments as well as government regulations.

 

 

Think you’ve got what it takes?

 



Responsibilities :

  • Conducts orientation for new employees and provides input on annual performance reviews, ensuring objectivity and consistency of the evaluations and development plans 
  • Assesses competency of staff and identifies training needs to ensure staff can demonstrate required skills to complete staff assignments effectively 
  • Funnels information between staff and leadership regarding workplace issues, resource needs, incidents and departmental/organizational events by conducting regular staff meetings, one-on-one conferences and education 
  • Participates in interviewing candidates 
  • Initiates collection calls to payors or guarantors to verify receipt of claims/statements and collect on assigned outstanding accounts receivables as specified by current collection policies and procedures 
  • Documents the expected payment, the date payment is expected, the check # and amount to be paid. Follows back up according to policy and procedure or sooner based upon the payor or guarantor’s response 
  • Ensures payments received by third party payors are correct and the proper contractual discounts/allowances have been applied according to the contract matrix or government reimbursement rates 
  • Analyzes and assesses accounts for uncollectable balances and makes prudent decisions as to send to the external agency in compliance with the specified policy and procedure 
  • Is available to take transferred calls from Patient Service Specialists from customers that request to speak to a supervisor or manager

 

 

 



Qualifications:

  • A high school diploma or GED 
  • Five (5) years of experience in collections 
  • A Bachelor’s degree with an emphasis in business and Hospital or healthcare collections experience preferred 
  • 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

 

 



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