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Prime Healthcare·Prime Healthcare Management Inc · Harlingen, TX

Account Representative

AdminFull timeDays
iPosting details
ScheduleDays · Full time
EducationHS diploma/GED
Experience1+ years preferred
SourcePrime Healthcare · posted Sep 16, 2026
✓Requirements
Education
✓High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)8.
Qualifications
✓Ability to multi-task, prioritize needs to meet required timelines2.
✓Effective written and verbal communication skills5.
✓Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred7.
✓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
Analytical, mathematical and problem-solving skill preferred3. preferred
Customer Services experience preferred4. preferred
Experience in accounts payable, accounts receivable or cashier experience preferred 6.
+Benefits
✓Medical, dental and vision
✓401(k)
✓Paid time off
✓Tuition assistance
+Prime Healthcare Management Inc
2admin roles open
HarlingenTX · 232 mi to San Antonio
✓You’ll need
Education
✓High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)8.
Qualifications
✓Ability to multi-task, prioritize needs to meet required timelines2.
✓Effective written and verbal communication skills5.
✓Familiar with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred7.
✓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
Analytical, mathematical and problem-solving skill preferred3. preferred
Customer Services experience preferred4. preferred
Experience in accounts payable, accounts receivable or cashier experience preferred 6.
+Benefits
Medical, dental and vision401(k)Paid time offTuition assistance
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About the role

Accurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems

What you’ll do
Accurately post and reconcileAccurately post and reconcile daily incoming payments, apply contractual adjustments, and maintain correct patient account balances within hospital systems
Analyze insurance payments andAnalyze insurance payments and managed care contracts to ensure accurate reimbursement and compliance with state and federal regulations, including Worker’s Compensation fee schedules
Identify, investigate, and escalateIdentify, investigate, and escalate underpayments or denials while collaborating with payers and internal departments to optimize revenue collection
Distribute billing appropriately, manageDistribute billing appropriately, manage hospital-related incoming and outgoing mail, and promptly correct mailing discrepancies
Provide professional, tactful communicationProvide professional, tactful communication when assisting patients, families, and internal stakeholders regarding account inquiries and payment matters