Patient Account Representative

7 days ago


Mitchell, South Dakota, United States Guidehouse Full time
Job Summary

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 revenue cycle processes.

Key Responsibilities
  • Resolve account balances with third-party payers and guarantors via payer websites or phone calls.
  • Work all correspondence within 24 hours of receipt, documenting notes in the client's system.
  • Address denials, taking necessary actions to obtain account resolution.
  • Submit appeals for non-clinical denials as appropriate.
  • Monitor denials for trends and issues, reporting findings to supervisor.
  • Bill or re-bill claims as necessary.
  • Ensure compliance with state and federal rules and regulations, including HIPAA.
  • Complete assigned special projects within given timeframes.
  • Attend training sessions and seminars offered by the client and third-party payers.
  • Accurately document each account worked in the client's practice management system.
  • Make necessary corrections in the client's practice management system.
  • Resolve or forward address and/or plan changes to maintain insurance master integrity.
  • Update patient accounts with corrected demographic or insurance information.
  • Post adjustments based on standard operating procedures or leadership direction.
  • Handle customer calls in a professional and courteous manner.
Requirements
  • High School Diploma or equivalent.
  • 1-year experience in office, customer service, or healthcare field preferred.
What We Offer

Guidehouse offers a comprehensive total rewards package, including 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 Program.


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