Account Representative
Location: Bellaire, TX
Pay Rate: Starting at $23.00/hour
Schedule: Monday-Friday | 8:00 AM - 5:00 PM | Remote after initial onsite training
Candidates must be local to Houston and available to come onsite as needed for training.
Dean's Professional Services is seeking an experienced, customer-focused, and detail-oriented Account Representative to support a leading healthcare organization in Bellaire, TX. This is an excellent opportunity for a healthcare revenue cycle professional with medical collections and accounts receivable experience to manage outstanding balances, resolve claims issues, and help ensure accurate and timely reimbursement.
The ideal candidate will have strong knowledge of medical collections, denials management, payer reimbursement, and revenue cycle operations, with the ability to work independently in a remote environment after completing onsite training.
Responsibilities
- Perform timely collection follow-up on assigned Accounts Receivable (A/R) accounts to maximize reimbursement and resolve outstanding balances.
- Contact insurance payers and guarantors by phone and online payer portals to verify claims, statements, payments, and outstanding balances.
- Document all account activity, payer and guarantor communications, correspondence, and resolution efforts accurately in the appropriate systems.
- Review payments and contractual adjustments to ensure reimbursement is accurate according to payer contracts and government reimbursement guidelines.
- Analyze accounts and determine appropriate actions to resolve outstanding balances efficiently.
- Identify underpayments, technical denials, and reimbursement discrepancies and initiate appeals within applicable payer and government timelines.
- Monitor denial and reimbursement trends and escalate recurring issues to leadership with appropriate documentation.
- Refer complex or problem accounts to senior representatives, team leads, or management with detailed notes and recommended next steps.
- Assist guarantors and families with charity care and payment plan application processes when appropriate.
- Collaborate with Admissions, Billing, Medical Records, Care Management, Contracting, and other departments to obtain information needed to resolve accounts and support appeals.
- Participate in special projects and departmental initiatives designed to improve collections, workqueue management, and revenue cycle performance.
- Maintain productivity, accuracy, and quality standards while managing multiple accounts and priorities.
Qualifications
- High School Diploma or GED required.
- Medical collections experience required.
- Minimum 2 years of revenue cycle experience required.
- Professional claims experience preferred.
- Epic experience preferred.
- Government payer experience preferred; strong commercial payer experience may be considered.
- Knowledge of government, commercial, and managed care reimbursement methodologies.
- Understanding of federal, state, and local regulations related to healthcare collections and reimbursement.
- Experience with denials management, claims follow-up, and A/R collections.
- Strong mathematical aptitude and ability to verify reimbursement based on contracts, benefits, and government regulations.
- Experience using payer portals, soft phones, e-fax, and other revenue cycle technology.
- Proficiency with Microsoft Office, including Outlook, Teams, Word, and Excel.
- Excellent critical thinking, decision-making, communication, organization, and time management skills.
- Abilit