Patient Account Representative
8 hours ago
The Patient Account Representative is a key member of our Support Team, responsible for performing specific billing processes, follow-up, account resolution, adjustments, and scanning as required. This position works closely with other departments to facilitate the meeting of both departmental and facility goals and objectives. The ideal candidate will have a strong knowledge of billing, accounts receivable follow-up, timely filing guidelines, and the ability to effectively review remittance advices and electronic billing reports from payers to determine the action required.
Key Responsibilities:
- Merging/Unmerging Duplicate Medical Records.
- Contacts third-party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts.
- Works all correspondence within 24 hours or receipt. Detail notes regarding correspondence must be entered into the client's system. Works all denials taking necessary actions to obtain account resolution.
- Submits appeals, as appropriate, for all non-clinical denials.
- Monitors all denials for trends and issues and reports findings to supervisor.
- Bills or re-bills claims as necessary.
- Ensures the client follows all state and federal rules and regulations both billing and HIPAA.
- Completes assigned special projects within the time frames given.
- Attends training sessions and seminars offered by the Client and Third-Party Payers.
- Appropriately documents each account worked in client practice management system.
- Makes necessary corrections in client practice management system.
- Resolves or forwards all address and/or plan changes as appropriate 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 all customer calls both internal and external in a professional and courteous manner.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
- High School Diploma/GED
- 0-2 years of Healthcare experience
- 1 plus year Revenue Cycle experience
- 1-year experience in office, customer service, or healthcare field preferred
- PC skills in a Windows environment
- Knowledge and utilization of desktop applications to include Word and Excel is essential.
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.
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