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Central Denials Account Representative

1 month ago

Birmingham, Alabama, United States Guidehouse Full time

Job Summary:

Guidehouse is seeking a highly skilled Central Denials Account Representative to join our team. As a key member of our healthcare team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.

Key Responsibilities:

  • Review and analyze electronic files, medical records, and other relevant documents to determine the cause of account denials.
  • Make outbound calls to insurance companies to resolve claim denials and account balances.
  • Perform non-clinical appeals and resubmit corrected claims and supporting documentation as needed.
  • Communicate with other organizational departments to ensure proper handling of patient accounts.
  • Escalate payer issues and trends to a supervisor with the appropriate information or take appropriate action to resolve the matter.

Requirements:

  • High school diploma or equivalent.
  • 0-2 years of medical provider experience working with UB04, appeals, and denials.

What 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, and vision insurance.
  • Personal and family sick time and company-paid holidays.
  • Position may be eligible for a discretionary variable incentive bonus.
  • Parental leave.
  • 401(k) retirement plan.
  • Basic life and supplemental life insurance.
  • Health savings account, dental/vision, and dependent care flexible spending accounts.
  • Short-term and long-term disability.
  • Tuition reimbursement, personal development, and learning opportunities.
  • Skills development and certifications.
  • Employee referral program.
  • Corporate-sponsored events and community outreach.
  • Emergency backup childcare program.

About Guidehouse:

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.