{"id":1662051,"url":"https://alion.io/job/houston-methodist-account-representative-museum-district","title":"Account Representative - Museum District","company":{"id":11892,"name":"Houston Methodist","domain":"houstonmethodist.org","url":"https://alion.io/company/houstonmethodist","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":81,"open_postings":100,"ghost_share":0,"stale_share":0.77,"repost_share":0,"time_to_fill_p50_days":38,"computed_at":"2026-10-29T05:49:05Z"}},"role":"Customer Success","role_family":"Customer Success","seniority":"middle","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":49000,"max_usd":108000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":648},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false}],"status":"live","first_seen_at":"2026-10-01T00:00:00Z","employer_posted_date":"2026-10-01","last_verified_at":"2026-10-29T04:17:44Z","board_verified":true,"closed_at":null,"days_open":28,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":28},"description":"At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for providing information regarding denial trends for future prevention.\n\nFLSA STATUSNon-exempt\nQUALIFICATIONS\nEDUCATION\n High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) \nEXPERIENCE\n Three years of physician billing experience, preferably in a multi-specialty physician practice \nSKILLS AND ABILITIES\nDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations \nSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security \nAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles \nIn depth knowledge of Current Procedural Terminology, 4th Edition (CPT-4), International Classification of Diseases Ninth Revision (ICD-9), International Classification of Diseases Tenth Revision (ICD-10), and Healthcare Common procedure Coding System (HCPCS) coding \nIn depth knowledge of third party payor reimbursement policies and procedures \nUnderstands payor environment such as managed care, independent physician associations (IPAs), and third-party administrators (TPAs) \nExtensive knowledge of billing, collections, reimbursement, contractual agreements and the appeals process \nUnderstanding of revenue cycle fundamentals \nAbility to follow-through and handle multiple tasks simultaneously \nExcellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff \nGood judgment in handling of accounts and ability to apply a professional approach in dealing with patients and insurance companies \nSharp analytical abilities in order to resolve patient accounts in a timely and correct manner \nProficient computer skills and ability to learn and navigate multiple software programs \nAbility to remain calm in stressful situations with patience and understanding \nESSENTIAL FUNCTIONS\nPEOPLE ESSENTIAL FUNCTIONS\nCollaborates with management to reduce aging of accounts by providing verbal and written communication. \nIdentifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates with internal CBO departments and Account Managers to communicate and prevent denials. Provides suggestions for resolution. \nAssists with knowledge sharing, payor and department cross training, and provides support to other team members as advised by the manager and/or supervisor. \nSERVICE ESSENTIAL FUNCTIONS\nCompletes special projects to improve team performance, as assigned. \nDemonstrates expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department’s revenue cycle operations. \nEnsures protection of private health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations. \nQUALITY/SAFETY ESSENTIAL FUNCTIONS\nReviews third party payor work queues to locate and resolve accounts. Resolves denials as they appear. Documents clear, concise and complete follow-up notes in system for each account worked. Assures accounts are completed and worked at a high level of quality by visually proofreading and monitoring work output. \nIdentifies, analyzes and escalates trends impacting accounts receivable (AR) collections. \nMeets and/or exceeds established follow-up productivity goals. \nFINANCE ESSENTIAL FUNCTIONS\nExpedites and maximizes payment of insurance medical claims by contacting third party payors and patients. This includes making outbound calls to payors and accessing payor websites. \nReviews and assesses entire account to determine necessary steps or activity to resolve outstanding denials. \nPerforms appropriate billing functions, including claims resubmission to payors. \nCreates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals. \nGROWTH/INNOVATION ESSENTIAL FUNCTIONS\nStays current on collection procedures of various payors and industry trends. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development. \nSUPPLEMENTAL REQUIREMENTS\n WORK ATTIREUniform: No \nScrubs: No \nBusiness professional: Yes \nOther (department approved): No \nON-CALL*\n*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.\nOn Call* No \nTRAVEL**\n**Travel specifications may vary by department**\nMay require travel within the Houston Metropolitan area No \nMay require travel outside Houston Metropolitan area No \n\nWork Shift:\n1 - Day (United States of America)\n\nJob Category:\nNon-clinical\n\nHouston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.\nHouston Methodist is an Equal Opportunity Employer.","description_format":"text","description_chars":5919,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":false}]},"benefits":["Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Professional Services","Hospitals & Health Systems"],"lifecycle":[{"event":"open","at":"2026-10-02T04:06:40Z"}],"visa":[],"liveness":{"score":44,"band":"fade","label":"Fading","p_open":1,"p_active":0.585,"p_room":0.75,"age_days":28,"expected_fill_days":38,"reasons":["conf:1","stale_co","velocity","win:late","comp:brand"],"computed_at":"2026-10-29T05:49:05Z"},"pay":null,"html_url":"https://alion.io/job/houston-methodist-account-representative-museum-district","json_url":"https://alion.io/job/houston-methodist-account-representative-museum-district.json","meta":{"generated_at":"2026-10-29T10:15:24Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":15476,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-30T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":11892},"rest":"https://alion.io/mcp/rest/get_company?id=11892"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhouston-methodist-account-representative-museum-district"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhouston-methodist-account-representative-museum-district"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhouston-methodist-account-representative-museum-district"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/houston-methodist-account-representative-museum-district\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhouston-methodist-account-representative-museum-district"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":1662051}},{"tool":"search_jobs","arguments":{"company":"houstonmethodist.org","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":1662051},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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