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Account Representative
Company : Prime Healthcare Services
Location : Harlingen, TX, 78550
Job Type : Full Time
Date Posted : 8 January 2026
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!
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 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 preferred 6. 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
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
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
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Frequently asked questions
In Harlingen, an Account Representative often encounters complex insurance payment issues. They analyze incoming payments against contracts and regulations to ensure proper reimbursement. Proactively coordinating with payers and internal teams helps resolve discrepancies efficiently, safeguarding hospital revenue and maintaining compliance with state and federal guidelines.
Success in the Account Representative role hinges on strong analytical abilities, attention to detail in payment posting, and knowledge of medical billing and insurance terminology. Unlike broader account management, this position demands precision in handling patient accounts and navigating healthcare-specific reimbursement rules.
Prime Healthcare Services emphasizes comprehensive payment analysis and compliance, requiring Account Representatives to juggle multiple regulations across states. The scale of operations with numerous hospitals and outpatient centers adds complexity, making adaptability and thorough knowledge of billing practices crucial.
Prime Healthcare offers pathways from Account Representative roles to senior billing or financial analyst positions, leveraging experience in managed care contracts and payment reconciliation. Demonstrating expertise in compliance and problem-solving can lead to leadership roles within their expansive health system.
Harlingen’s healthcare sector shows steady demand for Account Representatives due to its growing patient volume. Competition remains moderate, with employers valuing candidates who possess practical billing experience and familiarity with local insurance regulations, enhancing chances for well-qualified applicants.
Harlingen’s work environment encourages collaboration and community-focused service, which translates to Account Representatives frequently engaging with patient inquiries tactfully. Understanding regional healthcare challenges enables representatives to tailor billing follow-ups and support more effectively.
Account Representatives in Harlingen typically earn between $38,000 and $48,000 annually, depending on experience and expertise in medical billing. This range reflects regional market rates and the specialized nature of healthcare account management within a large system like Prime Healthcare.
Candidates with a solid grasp of medical terminology, insurance billing procedures, and prior accounts receivable experience stand out. Effective communication skills and ability to manage multiple tasks under deadlines are also key to thriving in this fast-paced, compliance-heavy environment.
Prime Healthcare invests in robust data systems and ongoing training to assist Account Representatives in precise payment posting and reconciliation. The company fosters a culture of continuous improvement, enabling staff to stay current with billing regulations and streamline workflow.
Daily duties for patient account-focused Account Representatives involve detailed payment application, managing denials, and verifying authorizations. Unlike general administrative roles, this position requires specialized knowledge of healthcare billing codes and payer-specific reimbursement nuances.