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Patient Account Representative
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Birmingham, Alabama, United States Guidehouse Full timeJob Summary:Guidehouse is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in processing overpayments made to UAB Hospital/PFS, ensuring accurate and timely resolution of patient accounts.Key Responsibilities:Process returned refunds and route insurance payer requests...
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Patient Account Representative
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Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleGuidehouse is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in ensuring the accuracy and efficiency of patient account processing.Key ResponsibilitiesProcess returned refunds and route insurance payer requests for processingAssist the team with...
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Birmingham, Alabama, United States Guidehouse Full timeAbout the Role:The Patient Account Representative plays a crucial role in ensuring the smooth operation of our healthcare financial processes. As a key member of our team, you will be responsible for reviewing accounts from our work queue, contacting insurance companies for resolution and payment, and ensuring that all claim edits in our billing systems are...
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Senior Patient Account Representative
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Senior Patient Account Representative
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Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our patient accounting department, you will play a critical role in ensuring the accurate and timely processing of patient accounts.Key ResponsibilitiesVerify payments received to ensure accuracy and compliance with...
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Patient Account Representative
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BIRMINGHAM, United States Guidehouse Full timeJob Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneThe Patient Account Representative will assist interpret hospital policies, procedures, and services, and obtain solutions to problems and concerns. May also assist in the handling of patient inquiries, correct/update billing details. This is onsite in Birmingham, AL.What You...
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Patient Account Representative
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Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled Patient Account Representative to join our team at Guidehouse. As a key member of our team, you will be responsible for processing overpayments made to UAB Hospital/PFS.Key ResponsibilitiesProcess Overpayments: Under general supervision and according to established policies and procedures, you will process...
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Patient Account Representative Team Lead
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Birmingham, Alabama, United States Guidehouse Full timeJob Title: Patient Account Representative Team LeadAbout the Company: Guidehouse is a leading healthcare company that provides innovative solutions to its clients. The Patient Account Representative Team Lead position involves overseeing daily operations of assigned projects and providing essential support to develop, implement, and achieve operational goals...
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Patient Account Representative
1 week ago
Birmingham, AL, USA, United States Guidehouse Full timeJob Summary:Guidehouse is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in ensuring the accuracy and efficiency of our financial services operations.Key Responsibilities:Process and reconcile patient accounts, ensuring accurate and timely payment...
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Senior Patient Account Representative
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Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and follow-up with patients and insurance companies.Key ResponsibilitiesVerify and process patient payments, ensuring compliance with...
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Senior Patient Account Representative
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Birmingham, Alabama, United States Guidehouse Full timeJob SummaryWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our patient accounting department, you will be responsible for performing specific areas of billing, follow-up, account resolution, adjustment posting, and scanning. Your expertise will be essential in ensuring customer...
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Patient Account Representative
1 week ago
Birmingham, AL, USA, United States Guidehouse Full timeJob Summary:Guidehouse is seeking a highly organized and detail-oriented Patient Account Representative to join our team. As a Patient Account Representative, you will be responsible for processing overpayments made to the Management Services Organization (MSO). This role requires strong communication skills, basic computer skills, and the ability to work...
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Patient Account Representative
1 week ago
Birmingham, AL, USA, United States Guidehouse Full timeJob Summary:The Patient Account Representative plays a critical role in ensuring the smooth operation of our healthcare financial services. As a key member of our team, you will be responsible for reviewing and resolving patient accounts, communicating with insurance companies, and ensuring timely payment processing.Key Responsibilities:Review and resolve...
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Patient Account Representative
1 week ago
Birmingham, AL, USA, United States Guidehouse Full timeJob Summary:The Patient Account Representative plays a critical role in ensuring the smooth operation of our healthcare financial services. As a key member of our team, you will be responsible for reviewing and resolving patient accounts, communicating with insurance companies, and ensuring timely payment processing.Key Responsibilities:Review and resolve...
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Patient Account Representative
2 weeks ago
Birmingham, AL, USA, United States Guidehouse Full timeJob SummaryWe are seeking a highly organized and detail-oriented Patient Account Representative to join our team at Guidehouse. As a Patient Account Representative, you will play a critical role in processing overpayments made to our Management Services Organization (MSO).Key ResponsibilitiesProcess returned refunds, scan and validate refund department...
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Patient Advocate Representative
7 hours ago
Birmingham, Alabama, United States Conifer Health Solutions Full timeJob SummaryConifer Health Solutions is seeking a skilled Patient Advocate Representative to join our team. As a key member of our healthcare team, you will be responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Your expertise will be crucial in identifying all sources of...
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Senior Patient Account Representative
1 week ago
Birmingham, AL, USA, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled and experienced Senior Patient Account Representative to join our team at Guidehouse. As a key member of our healthcare billing team, you will be responsible for ensuring accurate and timely billing and follow-up on patient accounts.Key ResponsibilitiesAccount Resolution: Resolve patient account balances by...
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Patient Advocate Representative
2 months ago
Birmingham, United States Conifer Health Solutions Full timeJob DescriptionJOB SUMMARY Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the...
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Patient Account Representative
3 days ago
Birmingham, AL, USA, United States Guidehouse Full timeJob Summary:Guidehouse is seeking a skilled Patient Account Representative to join our team. As a key member of our financial operations team, you will play a critical role in processing overpayments made to our Management Services Organization (MSO).Key Responsibilities:Process returned refunds and validate refund department batches.Communicate issues to...
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Senior Patient Account Representative
2 days ago
Birmingham, AL, USA, United States Guidehouse Full timeJob SummaryWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our patient accounting department, you will be responsible for performing specific areas of billing, follow-up, account resolution, adjustment posting, and scanning. This role requires strong analytical and problem-solving...
Patient Account Representative
4 months ago
Job DescriptionJOB SUMMARY The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance. Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the following: Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed. Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions Access payer websites and discern pertinent data to resolve accounts Utilize all available job aids provided for appropriateness in Patient Accounting processes Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities Provide support for team members that may be absent or backloggedESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned. Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results. Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. Participate and attend meetings, training seminars and in-services to develop job knowledge. Respond timely to emails and telephone messages as appropriate. Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors.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.KNOWLEDGE, SKILLS, ABILITIESTo 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. Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies Intermediate skill in Microsoft Office (Word, Excel) Ability to learn hospital systems - ACE, VI Web, IMaCS, OnDemand quickly and fluently Ability to communicate in a clear and professional manner Must have good oral and written skills Strong interpersonal skills Above average analytical and critical thinking skills Ability to make sound decisions Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims. Intermediate understanding of EOB. Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Ability to problem solve, prioritize duties and follow-through completely with assigned tasks.EDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience preferred to perform the job. High School diploma or equivalent. Some college coursework in business administration or accounting preferred 1-4 years medical claims and/or hospital collections experience Minimum typing requirement of 45 wpmPHYSICAL 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. Office/Team Work Environment Ability to sit and work at a computer terminal for extended periods of timeWORK 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. Call Center environment with multiple workstations in close proximityAs 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 stepQualificationsEducation:Required: High school diploma or equivalent Experience:Preferred: Medical/hospital insurance related collections Physical Demands:
