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We are searching for an Account Representative — someone who works well in a fast-paced setting. In this position, you will provide collections follow-up on all assigned Accounts Receivable accounts to ensure continuity of cash flow and the collection of every collectible dollar with efficient account resolution. The Account Representative is responsible for ensuring that the Hospital is reimbursed according to all contractual commitments and government regulations.
Job Duties & Responsibilities
• Initiates timely contact with guarantors/third party payors to collect outstanding receivables.
• 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.
• 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.
• Refers problem accounts to Sr. Rep, Team Lead or Manager prior to accounts turning 60 days old. Documents the issues in detail and refers to Sr. Rep, Team Lead or Manager with a recommendation of action needed. Provides continual follow-up.
• Assists with special projects to ensure that collection, work queue, and departmental goals are met.
• Initiates contact with third party payors to collect outstanding receivables that have been underpaid or denied for payment. Maintains Accounts Receivable by following established Departmental Policy & Procedures, Workflow, and Departmental Goals.
• Maintains Accounts Receivable by following established Departmental Policy & Procedures, Workflow, and Departmental Goals.
Skills & Requirements
• Required High School Diploma or GED
• Required 2 years revenue cycle experience
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