Patient Account Specialist
4 weeks ago
We are seeking a highly skilled Patient Account Representative to join our team at Guidehouse. As a Patient Account Representative, you will play a critical role in ensuring the smooth operation of our billing and accounts receivable processes.
Key Responsibilities- Resolve patient account balances by contacting third-party payers and guarantors via payer websites or by phone.
- Work all correspondence within 24 hours of receipt, detailing notes regarding correspondence in the client's system.
- Work all denials, taking necessary actions to obtain account resolution.
- Submit appeals, as appropriate, for all non-clinical denials.
- Monitor all denials for trends and issues, reporting findings to supervisor.
- Bills or re-bills claims as necessary.
- Ensure the client follows all state and federal rules and regulations, both billing and HIPAA.
- Complete assigned special projects within given time frames.
- Attend training sessions and seminars offered by the Client and Third-Party Payers.
- Appropriately document each account worked in the client's practice management system.
- Makes necessary corrections in the client's practice management system.
- Resolves or forwards all address and/or plan changes as appropriate to ensure the integrity of the insurance master is maintained.
- Updates patient accounts with corrected demographic or insurance information.
- Posts adjustments based on standard operating procedures or as directed by leadership.
- Handles all customer calls, both internal and external, in a professional and courteous manner.
- High School Diploma/GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma/GED.
- 0-2+ years of experience in an office, business, operations, customer service, or healthcare field setting.
- Previous experience working in insurance portals.
- PC skills in a Windows environment are required.
- Knowledge and utilization of desktop applications, including Word and Excel, is essential.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
Guidehouse 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.
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