Collector Jobs in Alamo, TX

Responsible for providing guidance and mentoring of new and/or existing staff with daily work effort and proper handling of accounts. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Provides daily support/mentoring/training to new hires as well as existing Patient Access staff. Provides assistance in managing escalated issues as needed. Assists in preparation for both short and long range planning recommendations for all Registration Process areas including; Admitting, Centralized Scheduling, Emergency Department and any on or offsite clinics. Maintains positive customer service at all times, assisting staff in resolving issues. Enforces departmental policies, practices, procedures and work rules in accordance with approved department and hospital policies and assists in the development and implementation of new policies according to hospital and corporate guidelines. Responsible for the monitoring of daily activity and completion of performance and metric reports such as financial clearance reports; also can perform special projects and reporting when assigned. Perform all Patient Access functions as needed. Acts as part of the management team to ensure that the group is meeting all operational goals. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (titles) - Rep, PA I-IV KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent interpersonal and organizational skills Demonstrated leadership abilities Thorough knowledge of computer systems in Health Care Information System Clear understanding of Revenue Cycle Management and Regulatory Agencies required Ability to receive and express detailed information through oral and written communications. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. High School Diploma or equivalent. College degree preferred. 2 or 4 year college degree in Business, Accounting, Medical Administration or related area preferred 4 plus years experience in medical facility, health insurance, or related area 5 plus years experience in Patient Access preferred 2 plus years in supervisory or lead role preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to work in sitting position WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Hospital Work Environment OTHER Must be available to work hours and days as needed based on departmental/system demands Must be “on-call” as needed As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Service Measure (SM) is a field data collection company founded in 2013 in New York. We collect data where automation is not possible. We count features, take pictures, make videos, record speech, and scan areas for every detail you need to make more informed decisions. Our field data collection teams are spread across Europe and North America, ready to accept new challenges. Project objective The goal of the project is to help collect images of streets, main points of interest and public areas in the USA. The project is performed on cars with 360 cameras mounted on top that image the area around the vehicle and store those images on computers inside the vehicle. Later, this data will be used to enhance one the most popular online maps in the world. The data collectors will be given specific routes around public streets and areas, specifically targeting commercial districts and historical sites. Due to poor weather conditions some areas will be visited multiple times in order to collect the best quality of imaging. The project is expected to last from 3 to 6 months and will cover different data collection areas. The ideal candidate enjoys driving, knows well the area, traffic trends, is highly responsible and reliable. The schedule expected on the project is Monday-Friday, 8 hours/day 40 hours per week. Due to weather downtime, work on weekends is possible. Requirements: Must have a valid Driver Licence;Good driving skills and clean driving record;General car knowledge would be a plus;Enjoys driving, within standard business hours;Available for a minimum of 3 months;Must have private monitored parking space for corporate vehicle;Great communication and reporting skills;Tech savvy (drivers will use Gmail, Google Forms and Google Meet);High level of responsibility;Self-motivated and detail oriented; Must be able to successfully pass a background check (criminal and driving record). We would be happy to get to know you and your skills better and see how we can support each other's growth. Please apply and let's meet!

Position Type: Full Time Location: McAllen, Texas Date Posted: Date posted 04/09/2025 Areas of interest: Billing Operations, Call Center, Customer Operations Requisition Number: 2025-51039 Business unit: Customer Operations CCS114 * Training class begins June 6th, 2025 * Must be bilingual (English and Spanish) * Must have the availability to work a late night shift/ overnight Good listener. Multi-tasking problem-solver. Enthusiastic communicator. Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team. BE PART OF THE CONNECTION At Spectrum, we keep more than 31 million customers connected by delivering Internet, Voice, and Video solutions to power today's evolving network demands. Customer Service Representatives on our billing team are vital to our mission, providing the product knowledge and account support that our customers rely on. Here, you will work in a fast-paced environment alongside a great team of helpful co-workers. WHAT OUR CUSTOMER SERVICE REPS ENJOY MOST * Talking to many different types of people from across the country * Answering inbound phone calls from customers related to billing inquiries * Empathizing with customers while accurately addressing their billing needs and meeting our high customer service standards * Establishing and growing professional, positive relationships with Spectrum customers * Collaborating with management on customer issue escalations * Representing a Fortune 100 company with professionalism and courtesy We are a large organization operating 24/7 bustling call centers offering a variety of shifts. On any given day, you'll find yourself in the office, navigating multiple computer programs, and speaking with customers over the phone. People who succeed in this role are understanding, resilient, professional, and treat others with kindness and respect. If you can see yourself working in this environment, you'll feel at home on our billing team. WHAT YOU'LL BRING TO SPECTRUM Required Qualifications * Education: High school diploma or equivalent * Schedule: Ability to work a variety of schedules including nights, weekends, and holidays * Language: Bilingual in English/Spanish Preferred Qualifications * Experience: 6+ months of customer service experience; 6+ months of experience working with computers and software applications; previous work in cable operations or a telecommunications call center * Technical Skills: MS Office, computer skills, typing * Skills: Communication, organization, time management, problem-solving, efficient, multi-tasking, customer service * Abilities: Dependable, courteous, enthusiastic, empathetic, results-driven, professional, resilient SPECTRUM CONNECTS YOU TO MORE * Supportive Teams: Learn from managers and work with team-oriented colleagues who want you to grow and succeed * Competitive Pay: Generous $20 per hour starting pay * Dynamic Growth: The growth of our industry and evolving technology will power your career as you move up or around the company * Learning Culture: We invest in your learning, and provide paid training and coaching to help you succeed * Total Rewards: Our comprehensive benefits are among the best in the industry Apply now, connect a friend to this opportunity or sign up for job alerts! CCS114 2025-51039 2025 Here, employees don't just have jobs, they build careers. That's why we believe in offering a comprehensive pay and benefits package that rewards employees for their contributions to our success, supports all aspects of their well-being, and delivers real value at every stage of life. A qualified applicant's criminal history, if any, will be considered in a manner consistent with applicable laws, including local ordinances. Get to Know Us Charter Communications is known in the United States by our Spectrum brands, including: Spectrum Internet, TV, Mobile and Voice, Spectrum Networks, Spectrum Business and Spectrum Reach. When you join us, you're joining a strong community of 95,000 employees working together to serve more than 31 million customers in 41 states and keep them connected to what matters most. Watch this video to learn more. Who You Are Matters Here We're committed to growing a workforce that reflects our communities, and providing equal opportunities for employment and advancement. EOE, including disability/vets. Learn about our inclusive culture. Apply Now Email Job

One of South Texas most reputable Pain Management clinics is looking for a highly motivated Medical Billing and Collections Specialist to be part of our clinical team dedicated to providing a 5-star customer service under the highest safety standards to ensure an excellent patient experience and outcome. We want someone who is looking for a career with growth opportunities in an expanding medical group with practices in the most influential metro areas in Texas and other states. BENEFITS Salary estimated at $15-17 plus benefits; based on candidate's qualifications and experience. A performance bonus ranging from $.60 to $4 on top of the base hourly rate paid monthly. Plus, a $500 USD loyalty bonus after 6 months of employment. Comprehensive training program with written procedures expecting the candidate to be able to perform their roles and responsibilities at an acceptable capacity in two to four weeks. BASIC DUTIES AND RESPONSIBILITIES: Responsible for charge and payment input in our HER system. Coordinates and clarifies with our medical personnel on information that seems incomplete or is lacking for proper account/ claim adjudication. Responsible for correcting, adjusting, and processing charges and bills for all applicable codes. Assist in reconciling deposits and patient outstanding charges. Assist with billing and collections reviews and audits. Communicate daily via phone calls and written communications with outstanding accounts offices to verify status of payments. Answer/respond to correspondence related to patient accounts and inquiries. Communicates effectively with Manager about improvement opportunities to achieve optimum performance. Participate in continuous education to remain current with codes in the Healthcare industry. Maintain HIPPA requirements related to patient confidentiality. Contribute to team effort to accomplish collections goals. REQUIREMENTS: Associates or bachelor's degree completed. Minimum of two years of experience in a medical office setting and fluent in utilizing an Electronic Medical Records system. Excellent communication skills; written, videocalls, and over the phone. Understanding of medical terminology and coding. Bilingual English and Spanish preferred. SCHEDULE: Monday to Friday 8am to 5pm Available for calls or texts on weekends or afterhours. Available to travel occasionally for trainings, conferences, and our satellite medical sites. If you meet the job requirements, we are excited to meet you and welcome you to apply for this great opportunity. Upon submission of your application please complete the following required survey: ***************************************************

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: ****************************** Job Summary: The Resolution Specialist acts as a liaison between members, brokers, providers, and all internal departments serving as a contact for day-to-day support in all matters to ensure quality, accuracy and integrity is delivered to all counterparts. Resolves escalated issues related to operational inquiries across all lines of business including fully insured commercial business, third-party administrator business, and Medicare Advantage business. Maintains department performance standards, identifies trends and recommends areas for improvement and opportunities. Benefit Highlights: * Loan Forgiveness Program * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and discounted stock plan * SoFi Student Loan Refinancing Program * Career development opportunities within UHS and its 300+ Subsidiaries! · More information is available on our Benefits Guest Website: benefits.uhsguest.com About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** Qualifications Qualifications and Requirements: * High school diploma or equivalent; Associates degree preferred * Minimum 3 years health plan claims experience, OR patient financial services OR Revenue Cycle experience (similar experience may be considered) * 3-5 yrs customer service years preferred * Versed in contract interpretation and the claims process for Medicare Advantage, PPOs & HMOs. * Experience with Medicare Advantage, HMO, PPO, and self-funded products * Ability to communicate complex program criteria into easily understood summaries in both or oral and written communication * Strong analytical and critical thinking skills with an ability to design, track and work towards specific measurable performance targets. * Familiar with designing and improving workflows for optimal efficiency * Experienced and comfortable in public speaking arena * Ability to impart knowledge/train external representatives and various internal departments and levels within the organization * Must be able to deal with challenging customer situations in a professional manner. * Ability to interpret and apply established policies and procedures. * Excellent computer skills (Microsoft Office Suite with emphasis on Excel and Power Point). * Must be a team player and have the ability to work independently with little supervision EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

We are seeking a Medical Billing Specialist to become a part of the ASAS Health team powered by Alpine Physician Partners! This position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy and tact in patient/staff interactions. Responsibilities: · Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines · Creates claims and transfer to third-party payers utilizing the correct forms · Conducts audits and coding reviews to ensure all documentation is accurate and precise · Manage the status of accounts and identify inconsistencies · Maintains appeal and denials · Posts payments and adjusts accounts appropriately Qualifications: · Minimum 3 years experience in medical billing and coding · Excellent communication skills and ability to effectively communicate with patient population and staff while demonstrating a high degree of diplomacy and tact. · Beginner to intermediate computing and phone skills. · Demonstrates flexibility in regard to job duties and assignments. · Willingness to cross train within other departments within your scope of duties. · Ability to multi-task and work effectively in a high-stress and fast-moving environment. · Culturally sensitive and demonstrated ability and effectiveness working with ethnically diverse populations. · Working knowledge of “Universal Precautions,” always demonstrates professionalism. · Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA. · Bilingual English/Spanish and/or other languages strongly preferred. · Valid Texas Driver's License, insurance, and ability to travel as required to perform duties. Education: · High School Diploma or GED required · Certification preferred If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

We are seeking a Medical Billing Specialist to become a part of the ASAS Health team powered by Alpine Physician Partners! This position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy and tact in patient/staff interactions. Responsibilities: · Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines · Creates claims and transfer to third-party payers utilizing the correct forms · Conducts audits and coding reviews to ensure all documentation is accurate and precise · Manage the status of accounts and identify inconsistencies · Maintains appeal and denials · Posts payments and adjusts accounts appropriately Qualifications: · Minimum 3 years experience in medical billing and coding · Excellent communication skills and ability to effectively communicate with patient population and staff while demonstrating a high degree of diplomacy and tact. · Beginner to intermediate computing and phone skills. · Demonstrates flexibility in regard to job duties and assignments. · Willingness to cross train within other departments within your scope of duties. · Ability to multi-task and work effectively in a high-stress and fast-moving environment. · Culturally sensitive and demonstrated ability and effectiveness working with ethnically diverse populations. · Working knowledge of “Universal Precautions,” always demonstrates professionalism. · Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA. · Bilingual English/Spanish and/or other languages strongly preferred. · Valid Texas Driver's License, insurance, and ability to travel as required to perform duties. Education: · High School Diploma or GED required · Certification preferred If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

At K.E.Y. Point Solutions, we're looking for motivated, customer-focused Verizon 5G Account Representatives to join our team. In this role, you will be responsible for managing client relationships, driving sales, and providing exceptional customer service to individuals seeking telecommunications solutions. If you enjoy problem-solving and are eager to make a difference for clients, the Verizon 5G Account Representative is the right position for you to build a successful career in a fast growing telecommunications industry. Verizon 5G Account Representative Responsibilities: Build lasting relationships with customers, becoming their primary face to face contact for all telecommunication services. Collaborate with the Telecommunications Account Representative team to ensure seamless onboarding and account management for new clients. Develop and implement effective sales strategies to target and acquire new business clients for our telecommunications solutions. Understand customer needs and offer tailored sales solutions. Drive sales while contributing to a supportive and fun team environment. Ability to effectively give presentations and business reviews to management. Meets regularly with the Telecommunications Account Representative team to troubleshoot and resolve any issues that arise, ensuring effective communication and timely problem-solving. Verizon 5G Account Representative Qualifications: Experience in sales, business development, or account management, in telecommunications industries preferred but not required. The Telecommunications Account Representative should possess the ability to effectively address and resolve client concerns, ensuring their needs are met and maintaining strong, positive relationships. Openness to feedback, and creativity in delivering sales solutions. Proven track record of meeting or exceeding sales quotas in a competitive sales environment. Ability to thrive in a fast-paced, goal driven environment with a high degree of independence. Reliable transportation needed for commuting to and from offices and field locations.

Part-time Description At Tone Up Health & Fitness we love to show Dignity, Equity & Respect. We are looking for a self-motivated, compassionate, outgoing, friendly, multitasker, with impeccable attention to detail. Great customer service skills are a must. You should be able to process payments quickly and efficiently while providing excellent service. Follow and comply with established procedures, including weights and measures, health and sanitation, and adhere to safe work practices. Ability to multi-task and work in a fast-paced environment and have excellent time management, organizational and communication skills. Must be able to feel comfortable making calls while sitting down at a designated desk. Monitor memberships to identify outstanding debts or delinquency. Keeping accurate records and reporting on collection activity Investigate the reasoning behind the delinquency. Must contact members to ask about their overdue payments. Process payments for each member that is delinquent. Resolve billing and update each of their accounts. Must report on collection activity and accounts receivable status to management. Requirements Must have patience. Must have the ability to manage stress. Comfortable working with members Excellent communication skills (written and oral) Skilled in negotiation Problem-solving skills Working knowledge of MS Office High school diploma Must be available anytime between 9am-5pm Must know how to communicate in spanish.

Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and procedures, and developing risk-based educational training to ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. Description of Duties * Performs monitoring and compliance reviews of billing and coding compliance activities, associated risk assessments, developing policies and procedures and planning and developing risk-based educational training to ensure compliance with federal/state laws and regulations and UTRGV policies. * Analyses and evaluates the effectiveness of compliance controls used by the area and its compliance with all applicable laws, policies, and procedures. * Collects information and prepares billing compliance reports, provides supporting evidence, and conclusions, and makes recommendations for corrective measures on identified billing compliance. * Analyzes data reports to identify issues and risk areas and makes recommendations as needed. * Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding, and reimbursement processes. * Reviews, assesses and analyzes medical records, coding, billing, claims, reimbursements and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. * Performs charge reviews comparing itemized bills to medical record documents to ensure appropriate charges. * Performs reviews of electronic and manual documentation, coding, and billing systems. · * Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems. * Conducts investigations of non-compliant, alleged breaches of policy to determine the cause and recommend a solution as well as preventative measures. * Communicates findings to senior management and makes recommendations for preventive measures. * Coordinates, evaluates and prepares quarterly reporting and verification through inspections and walk-throughs as assigned. * Responsible for reviewing and preparing appropriate reports for the Physician's Advisory Council, Executive Compliance Committee, and UT System as needed. * Develops and maintains risk compliance-related education and training materials and conducts training sessions. * Monitor emerging changes and trends in the law, regulations and industry standards relating to compliance with and enforcement of applicable law and report impactful developments. · * Performs other duties as assigned. Supervision Received General supervision from assigned supervisor. Supervision Given Direct supervision of assigned staff. Required Education Bachelor's degree in Business or Health related field from an accredited university. Preferred Education Bachelor's degree in Health Information Management, Health care related field, Regulatory Compliance or Project Management or a related field from an accredited university. Licenses/Certifications Certified Professional Medical Auditor (CPMA) by the American Health Information Management Association (AHIMA) or the American Academy Professional Coders (AAPC). Required Experience Two (2) years of related billing/coding and or auditing experience. Education may be substituted with experience on a one-to-one basis Preferred Experience Coding, auditing or quality assurance review experience. Bilingual (English/Spanish) Equipment Use of standard office equipment. Working Conditions Needs to be able to successfully perform all required duties. Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Work is performed primarily in a general office environment. Some travel and weekend work is required. UTRGV is a distributed institution, which may require presence at multiple locations throughout the Rio Grande Valley. Other Strong verbal, written and interpersonal communication skills. Strong analytical skills. Ability to multi-task in a fast-paced environment. Detail oriented with excellent organizational skills and high degree of integrity and confidentiality. Ability to review, analyze, and interpret regulatory requirements in a clear and concise manner. Knowledge of state and federal laws applicable to healthcare and compliance industry. Knowledge of Current Procedural Terminology (CPT) and Diagnosis Related Group (DRG) coding. Knowledge of medical, billing and coding terminology and assignment of codes. Physical Capabilities N/A Employment Category Full-Time Minimum Salary Commensurate with Experience Posted Salary Commensurate with Experience Position Available Date 04/02/2025 Grant Funded Position No If Yes, Provide Grant Expiration Date

Bilingual Quickbooks experience min 1-2 yrs Gather and verify invoices for proper documentation prior to payment Maintain accounts receivable records to ensure that due dates are applied to credits and receivables, that uncollectible amounts are accounted for, track and verify bank deposits are made, including the Bank Deposits record updates and records, that monitors and collects accounts receivable by contacting customers by phone, email, and postal mail.

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen 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! We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: ******************************************************************************************** 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 1. Ability to multi-task, prioritize needs to meet required timelines 2. Analytical, mathematical and problem-solving skills required 3. Customer Services experience required 4. Effective written and verbal communication skills 5. Experience in accounts payable, accounts receivable or cashier experience preferred 6. Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred 7. 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 practices 9. Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience required 10. Medical and Insurance terminology essential Not ready to apply? Connect with us for general consideration.

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen 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! We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: ******************************************************************************************** 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 1. Ability to multi-task, prioritize needs to meet required timelines 2. Analytical, mathematical and problem-solving skills required 3. Customer Services experience required 4. Effective written and verbal communication skills 5. Experience in accounts payable, accounts receivable or cashier experience preferred 6. Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred 7. 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 practices 9. Knowledge of multiple insurance billing requirements and 6 mo.-1 year of billing experience required 10. Medical and Insurance terminology essential

Responsible for providing guidance and mentoring of new and/or existing staff with daily work effort and proper handling of accounts. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Provides daily support/mentoring/training to new hires as well as existing Patient Access staff. Provides assistance in managing escalated issues as needed. * Assists in preparation for both short and long range planning recommendations for all Registration Process areas including; Admitting, Centralized Scheduling, Emergency Department and any on or offsite clinics. * Maintains positive customer service at all times, assisting staff in resolving issues. * Enforces departmental policies, practices, procedures and work rules in accordance with approved department and hospital policies and assists in the development and implementation of new policies according to hospital and corporate guidelines. * Responsible for the monitoring of daily activity and completion of performance and metric reports such as financial clearance reports; also can perform special projects and reporting when assigned. * Perform all Patient Access functions as needed. * Acts as part of the management team to ensure that the group is meeting all operational goals. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. * Direct Reports (titles) - Rep, PA I-IV KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Excellent interpersonal and organizational skills * Demonstrated leadership abilities * Thorough knowledge of computer systems in Health Care Information System * Clear understanding of Revenue Cycle Management and Regulatory Agencies required * Ability to receive and express detailed information through oral and written communications. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High School Diploma or equivalent. * College degree preferred. * 2 or 4 year college degree in Business, Accounting, Medical Administration or related area preferred * 4 plus years experience in medical facility, health insurance, or related area * 5 plus years experience in Patient Access preferred * 2 plus years in supervisory or lead role preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Hospital Work Environment OTHER * Must be available to work hours and days as needed based on departmental/system demands * Must be "on-call" as needed As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! **********

We are seeking a Medical Billing Specialist to become a part of the ASAS Health team powered by Alpine Physician Partners! This position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy and tact in patient/staff interactions. Responsibilities: Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines Creates claims and transfer to third-party payers utilizing the correct forms Conducts audits and coding reviews to ensure all documentation is accurate and precise Manage the status of accounts and identify inconsistencies Maintains appeal and denials Posts payments and adjusts accounts appropriately Qualifications: Minimum 3 years experience in medical billing and coding Excellent communication skills and ability to effectively communicate with patient population and staff while demonstrating a high degree of diplomacy and tact. Beginner to intermediate computing and phone skills. Demonstrates flexibility in regard to job duties and assignments. Willingness to cross train within other departments within your scope of duties. Ability to multi-task and work effectively in a high-stress and fast-moving environment. Culturally sensitive and demonstrated ability and effectiveness working with ethnically diverse populations. Working knowledge of “Universal Precautions,” always demonstrates professionalism. Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA. Bilingual English/Spanish and/or other languages strongly preferred. Valid Texas Driver's License, insurance, and ability to travel as required to perform duties. Education: High School Diploma or GED required Certification preferred If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and procedures, and developing risk-based educational training to ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. Description of Duties * Performs monitoring and compliance reviews of billing and coding compliance activities, associated risk assessments, developing policies and procedures and planning and developing risk-based educational training to ensure compliance with federal/state laws and regulations and UTRGV policies. * Analyses and evaluates the effectiveness of compliance controls used by the area and its compliance with all applicable laws, policies, and procedures. * Collects information and prepares billing compliance reports, provides supporting evidence, and conclusions, and makes recommendations for corrective measures on identified billing compliance. * Analyzes data reports to identify issues and risk areas and makes recommendations as needed. * Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding, and reimbursement processes. * Reviews, assesses and analyzes medical records, coding, billing, claims, reimbursements and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. * Performs charge reviews comparing itemized bills to medical record documents to ensure appropriate charges. * Performs reviews of electronic and manual documentation, coding, and billing systems. · * Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems. * Conducts investigations of non-compliant, alleged breaches of policy to determine the cause and recommend a solution as well as preventative measures. * Communicates findings to senior management and makes recommendations for preventive measures. * Coordinates, evaluates and prepares quarterly reporting and verification through inspections and walk-throughs as assigned. * Responsible for reviewing and preparing appropriate reports for the Physician's Advisory Council, Executive Compliance Committee, and UT System as needed. * Develops and maintains risk compliance-related education and training materials and conducts training sessions. * Monitor emerging changes and trends in the law, regulations and industry standards relating to compliance with and enforcement of applicable law and report impactful developments. · * Performs other duties as assigned. Supervision Received General supervision from assigned supervisor. Supervision Given Direct supervision of assigned staff. Required Education Bachelor's degree in Business or Health related field from an accredited university. Preferred Education Bachelor's degree in Health Information Management, Health care related field, Regulatory Compliance or Project Management or a related field from an accredited university. Licenses/Certifications Certified Professional Medical Auditor (CPMA) by the American Health Information Management Association (AHIMA) or the American Academy Professional Coders (AAPC). Required Experience Two (2) years of related billing/coding and or auditing experience. Education may be substituted with experience on a one-to-one basis Preferred Experience Coding, auditing or quality assurance review experience. Bilingual (English/Spanish) Equipment Use of standard office equipment. Working Conditions Needs to be able to successfully perform all required duties. Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Work is performed primarily in a general office environment. Some travel and weekend work is required. UTRGV is a distributed institution, which may require presence at multiple locations throughout the Rio Grande Valley. Other Strong verbal, written and interpersonal communication skills. Strong analytical skills. Ability to multi-task in a fast-paced environment. Detail oriented with excellent organizational skills and high degree of integrity and confidentiality. Ability to review, analyze, and interpret regulatory requirements in a clear and concise manner. Knowledge of state and federal laws applicable to healthcare and compliance industry. Knowledge of Current Procedural Terminology (CPT) and Diagnosis Related Group (DRG) coding. Knowledge of medical, billing and coding terminology and assignment of codes. Physical Capabilities N/A Employment Category Full-Time Minimum Salary Commensurate with Experience Posted Salary Commensurate with Experience Position Available Date 04/22/2025 Grant Funded Position No If Yes, Provide Grant Expiration Date

Responsible for conducting patient registration, insurance verification, scanning, printing, and posting payments and adjustments in the Electronic Medical Records (EMR) system. * Registers new patients by obtaining patient demographics and third-party coverage(s) for encounters from our partner EMR systems and MaxRVU application. * Obtains and verifies insurance coverage for patients received via Interfaces in accordance with health plan guidelines. * Responsible for posting payments and adjustments received from other EMR systems, including posting all adjustment and reconciling payments daily for the CBO. * Updates/corrects patient demographic and insurance emergency contact information received from EMR systems. * Assists Billing Specialists in printing medical records and scanning information into EMR system. * Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail. * Prepares and distributes payor and patient correspondence received by the CBO. * Responsible for contacting clinics, obtaining and entering referral information and/or prior authorizations as required for billing. * Responds to calls and ensures caller's needs are met and accurate information is obtained. * Obtains and documents information required for third-party reimbursement. * Assists in ensuring compliance with Medicare and third-party payor requirements and guidelines. * May assist the Revenue Cycle Department with gathering data for provider audits or billing information such as: obtaining/printing medical records for provider audits, verifying claims were billed and paid, etc. * Acts as patient point of contact and liaisons with various departments to assist with required documentation. * Participates in educational activities and attends staff meetings as scheduled. * Performs other duties as assigned. Supervision Received General supervision from assigned supervisor. Supervision Given Direct supervision of assigned staff. Required Education High School diploma or equivalent. Preferred Education None. Licenses/Certifications None. Required Experience * Two (2) years of general office or clerical experience or * One (1) years of medical, hospital, or healthcare billing experience. Preferred Experience Bilingual (English/Spanish). Medical, hospital, or healthcare billing experience. Thorough knowledge of registration, insurance verification, prior authorizations, customer service, posting, collections, reimbursement and payment reconciliation processes. Equipment Use of standard office equipment. Proficient with Electronic Health Record system. Microsoft Office applications preferred such as: MS Outlook & MS Excel and Word. Working Conditions Location of position may be Harlingen or Edinburg. Needs to be able to successfully perform all required duties. Office Environment; some travel and weekend work is required. UTRGV is a distributed institution, which requires presence at multiple locations throughout the Rio Grande Valley. Work is performed primarily in a general office environment across the Rio Grande Valley. Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Other Skill in data entry with minimal errors. Ability to communicate effectively in both oral and written form. Strong attention to detail. Knowledge of insurance plans and referral procedures. Organization, communication and computing skills. Comprehensive knowledge of and compliance of HIPAA rules and regulations. Physical Capabilities N/A Employment Category Full-Time Minimum Salary Commensurate with Experience Posted Salary Commensurate with Experience Position Available Date 04/21/2025 Grant Funded Position No If Yes, Provide Grant Expiration Date

Required Experience Two (2) years of general office or clerical experience or One (1) years of medical, hospital, or healthcare billing experience.

Required Experience Two (2) years of medical, hospital, or healthcare revenue cycle related experience, including thorough knowledge of registration, scheduling, pre-certification, prior authorizations, coding, claims billing, customer service, posting, collections, and/or reimbursement processes is required. or One (1) year of billing experience with Certified Coding Associate ( CCA )