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Medical Claims Processor
2 months ago
Job Summary:
The Insurance Patient Account Representative - Medi-Cal / HMO Emphasis is an extension of a client's business office staff. This role is 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.
Key Responsibilities:
- Process and resolve Medi-Cal and HMO claims in a timely and accurate manner.
- Review and analyze account information to identify and resolve discrepancies.
- Communicate with patients and insurance companies to resolve account balances and address any concerns.
- Work with clients to implement and maintain accurate and up-to-date patient demographic information.
- Initiate and follow through on projects and work independently with minimal supervision.
- Collaborate with the client's business office staff to ensure seamless communication and resolution of account balances.
- Responsible for working on 40-70 accounts per day and completing all assigned projects in a timely manner.
Requirements:
- High School Diploma or equivalent.
- 1+ year's medical provider experience working with UB04, appeals & denials.
- PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
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 & 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
