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Patient Account Representative

2 months ago


Lewisville, Texas, United States Guidehouse Full time

About the Role:

The Patient Account Representative at Guidehouse plays a crucial role in ensuring the smooth operation of our healthcare financial services. As a key member of our team, you will be responsible for performing specific billing processes, follow-up, account resolution, adjustments, and scanning as required.

Key Responsibilities:

  • Contacts third-party payers and guarantors to resolve account balances on assigned accounts.
  • Works all correspondence within 24 hours of receipt, detailing notes in the client's system.
  • Resolves denials by taking necessary actions to obtain account resolution.
  • Submits appeals for non-clinical denials as appropriate.
  • Monitors denials for trends and issues, reporting findings to the supervisor.
  • Bills or re-bills claims as necessary.
  • Ensures compliance with state and federal rules and regulations, both billing and HIPAA.
  • Completes assigned special projects within given time frames.
  • Attends training sessions and seminars offered by the client and third-party payers.
  • Documents each account worked in the client's practice management system.
  • Makes necessary corrections in the client's practice management system.
  • Resolves or forwards address and/or plan changes 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 customer calls in a professional and courteous manner.

Requirements:

  • 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.

Preferred Qualifications:

  • Previous experience working in insurance portals.
  • PC skills in a Windows environment are required.
  • Knowledge and utilization of desktop applications, including Word and Excel, are essential.
  • Ability to initiate and follow through on projects and work independently with minimal supervision.

About Guidehouse:

Guidehouse is an Equal Employment Opportunity/Affirmative Action employer. We are committed to creating a diverse and supportive workplace. Our comprehensive total rewards package includes competitive compensation and a flexible benefits package.

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