Job Title:
Account Representative
Dallas,  TX 75243 
Req No.:
The Account Representative is responsible for accounts receivable (AR) follow-up within client-focused revenue cycle operations while demonstrating and executing in depth knowledge of all standard operating procedures communicating issues, trends, concerns and suggestions to leadership.
To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment; including coordinating with payers, patients and clients when appropriate.
  • Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR.
  • Review credit balances and validate reimbursement requests and initiate reallocation or refunds when appropriate.
  • Maintain in-depth working knowledge of the various applications associated with the workflows.
  • Ensure all workflow items are completed within the set turn-around-time within quality expectations.
  • Utilize functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information.
  • Attend required meetings and participates in training programs as required.
  • Understand and adhere to HIPAA policies, procedures and regulations to ensure and maintain patient confidentiality.
  • Contributes to team effort by accomplishing related results as needed.
  • Perform other duties as assigned.
  • Bachelor's degree from a four-year college or university; or two years related experience and/or training; or equivalent combination of education and experience in healthcare required.
  • Coding and billing certification preferred. 
  • Ability to handle high volume and stressful situations in a calm and professional manner.
  • Has the ability to set priorities and work independently while maintaining a high degree of accuracy.
  • Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction.
Computer Skills:
  • Proficient in MS Office software; particularly Excel and Outlook.
  • Athena, Allscripts, eClinicalWorks (eCW), and/or Centricity experience preferred
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