Central Denials Account Representative
3 weeks ago
We are seeking a highly skilled Central Denials Account Representative to join our team at Guidehouse. As a key member of our team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.
Key Responsibilities- Review and perform thorough account reviews to determine the appropriate action needed to resolve account balances.
- Review and perform the following tasks: Electronic Files, UB04's and 1500 Claim Files, Medical Record, and making outbound calls to Insurance Companies to resolve claim denials and account balances.
- Perform Non-Clinical Appeals and assist Supervisor/Manager as needed with various projects.
- Escalate payer issues/trends to a supervisor with the appropriate information or take appropriate action so that the issue expert can effectively resolve the issue.
- Resubmit Corrected Claims and supporting documentation as needed for the patient experience.
- Communicate with other organizational departments to ensure proper handling of patient accounts.
- Communicate issues to management timely and perform other duties as assigned by direct supervisors.
- HS Diploma or equivalent.
- 0-2 years medical provider experience working with UB04, appeals & denials.
- Basic computer skills.
- Good written and verbal communications skills.
- Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact.
- Ability to perform essential job functions with high degree of independence, flexibility, and creative problem-solving techniques.
- Ability to interpret and apply reimbursement aspects of managed healthcare contracts.
- Attentive listening skills.
- Exceptional customer service skills including effective and efficient problem solving and analyzing skills.
- Ability to initiate and follow through on projects and work independently with minimal supervision required.
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
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.
-
Central Denials Account Representative
2 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob Title: Central Denials Account RepresentativeGuidehouse 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...
-
Central Denials Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryGuidehouse is seeking a highly skilled Central Denials Account Representative to join our team. As a key member of our team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesReview and analyze electronic files, medical records, and claim files...
-
Central Denials Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled Central Denials Account Representative to join our team at Guidehouse. As a key member of our team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesReview and analyze electronic files, including 835 and UB04...
-
Central Denials Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryWe are seeking a highly skilled Central Denials Account Representative to join our team at Guidehouse. As a key member of our team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesReview and analyze electronic files, medical records, and...
-
Central Denials Account Representative
2 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob Summary:The Central Denials Account Representative plays a crucial role in resolving patient account balances by conducting thorough account reviews. This involves reviewing and performing various tasks, including analyzing electronic files, making outbound calls to insurance companies, and performing non-clinical appeals. The ideal candidate will have...
-
Central Denials Account Representative
6 days ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryGuidehouse is seeking a highly skilled Central Denials Account Representative to join our team. As a key member of our denials resolution team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesReview and analyze electronic files, medical...
-
Central Denials Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob Summary:The Central Denials Account Representative plays a critical role in resolving patient account balances by conducting thorough account reviews and making outbound calls to insurance companies. This position requires strong analytical and communication skills, as well as the ability to work independently with minimal supervision.Key...
-
Central Denials Account Representative
4 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob Summary:The Central Denials Account Representative plays a critical role in resolving patient account balances by conducting thorough reviews of electronic files, medical records, and claim submissions. This position requires strong analytical and communication skills to effectively resolve claim denials and account balances with insurance companies.Key...
-
Central Denials Account Representative
4 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryGuidehouse is seeking a highly skilled Central Denials Account Representative to join our team. As a key member of our organization, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesConduct thorough account reviews to determine the appropriate...
-
Central Denials Account Specialist
2 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryWe are seeking a highly skilled Central Denials Account Representative to join our team at Guidehouse. As a key member of our team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesReview and analyze electronic files, including UB04s and 1500...
-
Central Denials Account Representative
4 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryGuidehouse is seeking a highly skilled Central Denials Account Representative to join our team. As a key member of our revenue cycle team, you will be responsible for conducting thorough account reviews to determine the appropriate action needed to resolve account balances.Key ResponsibilitiesConduct thorough account reviews to determine the...
-
Central Denials Account Representative
4 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Central Denials Account Representative to join our team at Guidehouse. As a key member of our healthcare claims team, you will play a critical role in resolving account balances and ensuring accurate reimbursement for our clients.Key ResponsibilitiesConduct thorough account reviews to...
-
Senior Patient Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our patient accounting department, you will play a critical role in ensuring the accurate and timely processing of patient accounts.Key ResponsibilitiesVerify payments received to ensure accuracy and compliance with...
-
Senior Patient Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and follow-up with patients and insurance companies.Key ResponsibilitiesVerify and process patient payments, ensuring compliance with...
-
Senior Patient Account Representative
3 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob SummaryWe are seeking a highly skilled Senior Patient Account Representative to join our team at Guidehouse. As a key member of our patient accounting department, you will be responsible for performing specific areas of billing, follow-up, account resolution, adjustment posting, and scanning. Your expertise will be essential in ensuring customer...
-
Central Processing Center Associate
4 weeks ago
Birmingham, Alabama, United States Vapor Thrift Store Central Processing Center Full timeJob Description**Job Summary:**Vapor Thrift Store Central Processing Center is seeking a highly motivated and detail-oriented individual to join our team as a Central Processing Center Associate. This role will be responsible for maintaining inventory levels, coordinating with our US Profit Centers and Store Managers, and ensuring the efficient processing...
-
Account Representative
2 weeks ago
Birmingham, Alabama, United States Total Quality Logistics Full timeAbout the Role:We are seeking a highly motivated and results-driven Account Representative to join our team at Total Quality Logistics. As an Account Representative, you will play a critical role in supporting our Sales Team to drive revenue growth and deliver exceptional customer service.Key Responsibilities:Communicate effectively with the Sales Team and...
-
Patient Account Representative
4 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeJob Summary:Guidehouse is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in processing overpayments made to UAB Hospital/PFS, ensuring accurate and timely resolution of patient accounts.Key Responsibilities:Process returned refunds and route insurance payer requests...
-
Patient Account Representative
4 weeks ago
Birmingham, Alabama, United States Guidehouse Full timeAbout the RoleGuidehouse is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in ensuring the accuracy and efficiency of patient account processing.Key ResponsibilitiesProcess returned refunds and route insurance payer requests for processingAssist the team with...
-
Birmingham, Alabama, United States Tenet Health Central Coast Full time**Job Summary**We are seeking a highly skilled and detail-oriented Patient Service Representative to join our team at Cardiovascular Associates. As a key member of our front office staff, you will be responsible for providing exceptional patient care and administrative support to our physicians and staff.**Key Responsibilities:**Collect and process patient...
