Account Representative

Prime Healthcare • Ontario, CA • 1d ago

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\KnowYourRights\screen\reader\10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities

The Account Representative is responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Distribution of all billing to appropriate personnel. Reviews and performs follow-up on all authorizations, and specialty referrals. Maintains a current knowledge of contracts and state Worker's Compensation fee schedules. Responsible for the handling of incoming and outgoing mail pertaining to the hospital. Needs to have ability to recognize and correct mailing errors immediately. Always uses proper tact and discretion in handling inquiries from patients and their families. The Account Representative is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital's receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate state and federal regulations in order to assure compliance in payment practices. Responsible for posting all incoming payments to correct patient accounts on a daily basis. Inputs and retrieves data from computer systems. Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Applies contractual adjustments to patient AR balances as needed. Manage and forward underpayments /denials to the appropriate departments for follow-up and further revenue collection as needed.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Ability to multi-task, prioritize needs to meet required timelines2. Analytical, mathematical and problem-solving skill preferred3. Customer Services experience preferred4. Effective written and verbal communication skills5. Experience in accounts payable, accounts receivable or cashier experience preferred6. Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred7. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)8. Knowledge of basic understanding medical coding and third-party operating procedures and practices9. Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience preferred10. Medical and Insurance terminology essential

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $25.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Part Time >59

Shift

Days

Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212073/account-representative/job?mode=apply&apply=yes&in_iframe=1&hashed=-336024306)

FacilityPrime Healthcare Management Inc

LocationUS-CA-Ontario

ID2025-212073

CategoryAdmin

Position TypePart Time > 59

ShiftDays

Job TypeNon-Exempt

MinUSD $21.00/Hr.

MaxUSD $25.00/Hr.

Similar Jobs

Wireless Sales Pro

Acosta Group • Covina, CA • 4h ago

Sales & Marketing

Wireless Sales Pro General Information Company: PRE-US Location: COVINA, California, 91722 Ref #: 88107 Pay Rate: $ 17.27 Experience/skills and/or location may influence position wage rate Function: Brand Advocacy &...

4h ago

Go to Apply

Field Sales and Marketing Representative - Ontario, CA

Techtronic Industries North America, Inc. • Ontario, CA • 2d ago

Sales & Marketing

Job Description: About Us: TTI (Techtronic Industries) is a fast-paced, high energy, organization that rewards out-of-the-box thinking to foster innovation allowing us to be the best in our industry. We provide a multi-f...

2d ago

Go to Apply

Sales Assistant

Robert Half • Covina, CA • 3d ago

Sales & Marketing

Description We are looking for a dedicated Sales Assistant to join our team in Covina, California. In this contract position, you will play a key role in supporting sales and customer service operations within a nonprofi...

3d ago

Go to Apply

Firearms Sales Outfitter

Cabela's • Rancho Cucamonga, CA • 5d ago

Sales & Marketing

Pay Range: $18.00 - $23.50 POSITION SUMMARY: The Sales Outfitter - Firearms is responsible for maintaining Counter Sales and Customer Service for Firearms along with Floor and Counter Sales of other Hunting Merchandise....

5d ago

Go to Apply

Wireless Sales Pro

Acosta Group • Ontario, CA • 1w ago

Sales & Marketing

Wireless Sales Pro General Information Company: PRE-US Location: ONTARIO, California, 91762 Ref #: 88742 Pay Rate: $ 16.50 Experience/skills and/or location may influence position wage rate Function: Brand Advocacy &...

1w ago

Go to Apply

Fishing Sales Outfitter

Cabela's • Rancho Cucamonga, CA • 1w ago

Sales & Marketing

Pay Range: $17.00 - $22.50 POSITION SUMMARY: The Sales Outfitter performs various Selling / Customer Service activities, to include greeting and acknowledging all customers in a prompt and friendly manner, handling merch...

1w ago

Go to Apply

Marketing Coordinator

Marriott • Pomona, CA • 1w ago

Sales & Marketing

Additional Information Pay: $27.50/hour Job Number 25094876 Job Category Sales & Marketing Location Sheraton Fairplex Suites & Conference Center, 601 West McKinley Ave, Pomona, California, United States, 91768VIE...

1w ago

Go to Apply

Sales Coordinator

Marriott • Pomona, CA • 1w ago

Sales & Marketing

Additional Information Pay: $27.50/hour Job Number 25094878 Job Category Sales & Marketing Location Sheraton Fairplex Suites & Conference Center, 601 West McKinley Ave, Pomona, California, United States, 91768VIE...

1w ago

Go to Apply

Sales Professional - Inside Sales

SCI Shared Resources, LLC • Glendora, CA • 2w ago

Sales & Marketing

Life's not about a job, it's about purpose. Do you love sales? Are you passionate about serving your community? Do you want to make a difference with your work? We're looking for a sales professional to join our dynamic...

2w ago

Go to Apply

Mid Market Account Executive

ADP • Rancho Cucamonga, CA • 2w ago

Sales & Marketing

ADP is hiring a Sales Representative, Major Accounts. Are you ready to control your financial future with unlimited upside earnings potential? Do you want a lasting career with a company that offers autonomy to run a boo...

2w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.