Top 232 Patient accounts representative Jobs in Houston Tx

Insurance Appeals Rep
PFS Group —Houston, TX
- Full-time
- Research
- Mid-level
- Organizational skills
- Disability insurance
- Health insurance
10d
Sales Executive - Medical Device Maintenance and Repair Contract Sales
Draeger, Inc. —Houston, TX
- $65,000 a year
- Contract
- Remote
- Microsoft Outlook
- Up to 50% travel
- Bachelor of Science
- Free parking
- Paid holidays
Patient Services Representative
Tyvan LLC —Houston, TX
- Full-time
- Mid-level
- High school diploma or GED
11d
Clinical Research Assistant
Care Access —Houston, TX
- $19 - $33 an hour
- Spanish
- Vital signs
- Computer literacy
- Health savings account
- Paid holidays
Bilingual Patient Support Representative
Resource Corporation of America —Houston, TX
- $16 - $18 an hour
- Full-time
- Bilingual
- Background check
- Spanish
- Paid holidays
- Disability insurance
Quick Apply
AR Call Representative 1
Performance Home Medical —Houston, TX
- Full-time
- Remote
- Entry level
- AD&D insurance
- Paid holidays
Quick Apply
Insurance Follow-Up Representative III - Kelsey Seybold Clinic - Pearland - Hybrid
Optum —Pearland, TX
- $20 - $36 an hour
- Full-time
- Hybrid work
- Computer literacy
- Pass drug screening
- Research
Quick Apply
4d
Healthcare Customer Service Representative (TX)
Healthcare Business Services Inc. —Houston, TX
- On call
- Remote
- Computer literacy
- Writing skills
- Medical office experience
- Work from home
8d
National Dispatcher & Customer Service Representative CSR
National Courier Express —Houston, TX
- $22 - $23 an hour
- Weekends as needed
- HIPAA
- 11+ years
- Mid-level
- Health savings account
- Paid holidays
4d
Patient Access Rep - Ben Taub EC -3rd Shift: 10:30PM - 7:00AM
Harris Health —Houston, TX
- $20.26 - $24.43 an hour
- Overtime
- Microsoft Word
- Writing skills
- Basic math
3d
Patient Services Representative (100% in office)
Visualutions, Inc. —Spring, TX
- $18 - $22 an hour
- Full-time
- HIPAA
- Office
- Continuous improvement
Quick Apply
4d
Collections Representative - Kelsey Seybold - Pearland
Optum —Pearland, TX
- $18 - $32 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
Quick Apply
4d
Call Center Representative-Remote TX Resident
OrthoLoneStar —Houston, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
Healthcare Customer Service Specialist (REMOTE)
GetixHealth —Houston, TX
- $17 an hour
- Full-time
- Remote
- Spanish
- HIPAA
- Research
- AD&D insurance
- Disability insurance
Quick Apply
Patient Access Representative PRN
Texas Children's Hospital —Houston, TX
- Part-time
- Hospital
- Customer service
- High school diploma or GED
Customer Service Representative - Part Time (Remote)
GETIX HEALTH —Houston, TX
- $17 an hour
- Part-time
- Remote
- Spanish
- HIPAA
- English
Quick Apply
Business Office Customer Service Representative - Kelsey Seybold - Pearland Business Office - Hybrid
Optum —Pearland, TX
- $16 - $29 an hour
- Full-time
- Spanish
- Pass drug screening
- Mid-level
Quick Apply
Patient Services Representative
Symetria Recovery —Sugar Land, TX
- $18.00 - $20.50 an hour
- Full-time
- Psychiatry
- HIPAA
- Clinic
- Continuing education credits
- Health insurance
Quick Apply
Patient Account Representative Onsite Houston
US Physical Therapy —Houston, TX
- Full-time
- Customer service
- Research
- Office
- Health insurance
- Dental insurance
Quick Apply
Patient Financial Counselor
CCRM Fertility —Houston, TX
- $22 - $25 an hour
- Weekends as needed
- High school diploma or GED
- Clinic
- US work authorization
- Commuter assistance
- Health savings account
Quick Apply

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Insurance Appeals Rep

PFS Group -
Houston, TX

Apply Now

Job Details

Full-time
10 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

Research
Medical explanation of benefits reviews
Epic
Hospital experience

Full Job Description

Insurance Appeals Representative

JOB SUMMARY

Under the supervision of the Insurance Supervisor, the Insurance Appeals Representative will work high dollar or complex denials for hospital insurance claims. The Appeals Representative will be responsible for reviewing basic clinical documentation and relevant payer guidelines to draft timely and effective appeals. They will be measured on appeals success and denials overturn rate, working to improve cash collections on behalf of their client(s). The Appeals Representative may directly write appeals or act as a consultant for other Insurance Reps, assisting them with referencing clinical or payer guidelines. They may be expected to share payer updates with Insurance teams or provide occasional information sessions to department trainer or representatives. They will prioritize work based on feedback from their leadership in order to best impact performance metrics.

ESSENTIAL FUNCTIONS

Demonstrate extensive knowledge of insurance follow-up and denials.

Act as the subject matter expert for appeals on their team.

Triage and determine denial reasons from remittance advice, explanation of benefits, payer portals, or other avenues of information.

Research pertinent payer medical policy bulletins and billing guidelines, creating a repository of reference materials for themselves and other team members.

Prioritize work effort by viability and amount of payment to maximize cash.

Track payer issues and escalations to provide relevant trending information to leadership.

Follow appeals to resolution to assess effectiveness.

Create job aids and share information on appeals language as needed.

Practice compliant billing and follow-up strategies for all government and managed care payers.

Meet minimum of 10 appeals per day, as well as any follow-up needed on existing appeals.

Aggressively seek to resolve unpaid balances.

Document all efforts accurately and thoroughly.

Follow all workflow protocols.

Work other insurance inventory as assigned or as volume demands.

Qualifications

KNOWLEDGE, SKILLS, AND ABILITIES

Outstanding research and follow-up skills.

Deep knowledge of denial types and causes.

Ability to research commercial, managed care, and government payer guidelines and reference language in all appeals.

Ability to read and interpret remittance advice/explanation of benefits.

Strong written and verbal communication skills, especially when drafting appeals or creating workflow templates for teammates.

Self-motivation and ability to work autonomously.

Basic analytics, to include Microsoft Excel.

EDUCATION AND EXPERIENCE

At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization.

At least 2 years of hospital insurance follow-up or denials experience.

Epic experience, with strong preference toward HB, required.

Preferences

CUBS experience

PFS Group

Nationwide Patient Account Management Firm.

Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.

PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!

If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

Apply Now

Refine Your Search

patient accounts representative jobs in houston tx

Insurance Appeals Rep

Sales Executive - Medical Device Maintenance and Repair Contract Sales

Patient Services Representative

Clinical Research Assistant

Bilingual Patient Support Representative

AR Call Representative 1

Insurance Follow-Up Representative III - Kelsey Seybold Clinic - Pearland - Hybrid

Healthcare Customer Service Representative (TX)

National Dispatcher & Customer Service Representative CSR

Patient Access Rep - Ben Taub EC -3rd Shift: 10:30PM - 7:00AM

Patient Services Representative (100% in office)

Collections Representative - Kelsey Seybold - Pearland

Call Center Representative-Remote TX Resident

Healthcare Customer Service Specialist (REMOTE)

Patient Access Representative PRN

Customer Service Representative - Part Time (Remote)

Business Office Customer Service Representative - Kelsey Seybold - Pearland Business Office - Hybrid

Patient Services Representative

Patient Account Representative Onsite Houston

Patient Financial Counselor

I want to receive the latest job alert for patient accounts representative in houston tx

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