Patient Account Representative - Healthcare - Medicare & Commercial Claims Specialists
Company: Guidehouse
Location: Lewisville
Posted on: October 30, 2024
Job Description:
Job Family:Patient Account RepresentativeTravel
Required:NoneClearance Required:NoneWhat You Will Do: -The
Insurance Patient Account Representative is an extension of a
client's business office staff. Representatives are responsible for
taking in-coming and making out-going calls to patients and
insurance companies to resolve account balances. All client
policies and procedures are followed. Representatives will perform
any and all job-related duties as assigned.This position will be on
a hybrid schedule working two days in the office and three days
from home.Questions regarding this position, you may contact Chris
Rivera (Manager, Talent Acquisition) at (424) 430-3111Essential Job
Functions
- Account Review
- Appeals & Denials
- Medicare/Medicaid
- Insurance Follow-up
- Customer Service
- Billing
- UB-04 & CMS 1500
- Complete all business-related requests and correspondence from
patients and insurance companies.
- Responsible for working on 40-70 Accounts Per Day
- Complete all assigned projects in a timely manner. -
- Assist client and patients in all requested tasks.
- Communicate to Guidehouse management areas of concern or areas
of improvement. -
- Research and respond to all patient inquiries received by
telephone and mail.
- Update patient demographic information and initiate account
adjustments.
- Try to resolve account balances to zero prior to accounts being
forwarded to an outside agency for collections.What You Will Need:
- High School Diploma/GED or 3 years of relevant equivalent
experience in lieu of High School Diploma/GED.
- 1+ year's medical provider experience working with UB04,
appeals & denials.What Would Be Nice To Have:
- Has active Medicare appeal process experience
- PC skills in a Windows environment are required. Knowledge and
utilization of desktop applications to include Word and Excel is
essential.
- Ability to initiate and follow through on projects and work
independently with minimal supervision
required.#IndeedSponsoredWhat We Offer:Guidehouse offers a
comprehensive, total rewards package that includes competitive
compensation and a flexible benefits package that reflects our
commitment to creating a diverse and supportive workplace.Benefits
include:
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive
bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible
Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning
Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse
is an Equal Employment Opportunity / Affirmative Action employer.
All qualified applicants will receive consideration for employment
without regard to race, color, national origin, ancestry,
citizenship status, military status, protected veteran status,
religion, creed, physical or mental disability, medical condition,
marital status, sex, sexual orientation, gender, gender identity or
expression, age, genetic information, or any other basis protected
by law, ordinance, or regulation.Guidehouse will consider for
employment qualified applicants with criminal histories in a manner
consistent with the requirements of applicable law or ordinance
including the Fair Chance Ordinance of Los Angeles and San
Francisco.If you have visited our website for information about
employment opportunities, or to apply for a position, and you
require an accommodation, please contact Guidehouse Recruiting at
1-571-633-1711 or via email at . All information you provide will
be kept confidential and will be used only to the extent required
to provide needed reasonable accommodation.Guidehouse does not
accept unsolicited resumes through or from search firms or staffing
agencies. All unsolicited resumes will be considered the property
of Guidehouse and Guidehouse will not be obligated to pay a
placement fee.
Keywords: Guidehouse, Lewisville , Patient Account Representative - Healthcare - Medicare & Commercial Claims Specialists, Healthcare , Lewisville, Texas
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