HoustonRecruiter Since 2001
the smart solution for Houston jobs

Patient Account Representative Commercial

Company: Resource Staffing
Location: Houston
Posted on: May 16, 2022

Job Description:

Job DescriptionPatient Account RepresentativePay Rate: $18 /hr.Shift: are Monday-Friday 8:00am - 4:30pm or 8:30am -5:00pmLocation: Loop Central DriveA major healthcare system who owns and operates three hospitals and numerous clinics throughout Harris County is seeking a Patient Account Representative with previous EPIC experience.The Patient Account Representative Responsibilities:

  • Utilize payor websites to get information on eligibility, EOBs, claim status and on-line inquiries:
  • Avidity, Aetna, Cigna, Human, WellCare, Tricare, United Healthcare, Amerigroup, Molina
  • Ensuring that work queues are worked daily and monitoring follow-up activities.
  • Update the system with any follow-up activities that are being worked or completed.
  • Report payment variances, claim rejections, payor reimbursement issues, or other system issues immediately to management. Completing research daily on each account which includes
  • reviewing EOBS, Ras and correspondence from payors that relate to account activities.
  • Monitoring account reimbursement daily to ensure that payments are accurate and processed timely.
  • Updating patient demographic, insurance, and other patient information. • Must apply appropriate adjustment on accounts which require additional contractual adjustments or a write-off.
  • Review patient accounts to determine the next collection action, whether negotiation payment arrangement or discount, proceeding with legal action, or conducting additional insurance follow-up.
  • Research denied claims and determines the appropriate course of action to resolve account balances through EPIC Account work queues.
  • Identifies issues that are creating denials and works with associated departments to prevent future denials. Requirements:
    • Previous patient account representative experience
    • EPIC
    • EOBs, claims, eligibility
    • Understanding of major insurance carriers #IND5

Keywords: Resource Staffing, Houston , Patient Account Representative Commercial, Other , Houston, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Houston RSS job feeds