Patient Account Representative

2 days ago


Lewisville, Texas, United States Guidehouse Full time
About the Role

We are seeking a highly skilled and detail-oriented 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 healthcare financial processes.

Key Responsibilities
  • Resolve patient account balances by contacting third-party payers and guarantors via online portals or phone.
  • Work all correspondence within 24 hours of receipt, documenting notes in our client management system.
  • Process denials, submitting appeals as necessary for non-clinical denials.
  • Monitor denials for trends and issues, reporting findings to supervisors.
  • Bill or re-bill claims as required, ensuring compliance with state and federal regulations.
  • Complete assigned special projects within given timeframes.
  • Attend training sessions and seminars offered by clients and third-party payers.
  • Accurately document each account worked in our practice management system.
  • Makes necessary corrections in our practice management system.
  • Resolves or forwards address and/or plan changes to maintain insurance master integrity.
  • 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 office, business, operations, customer service, or healthcare.
Preferred Qualifications
  • Previous experience working in insurance portals.
  • Proficiency in PC skills in a Windows environment.
  • Knowledge and utilization of desktop applications, including Word and Excel.
  • Ability to initiate and follow through on projects, working 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


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