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Patient Account Representative

2 months ago


Mitchell, United States Guidehouse Full time
Job Summary

We are seeking a highly skilled Patient Account Representative to join our team at Guidehouse. As a Patient Account Representative, 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 via payer websites or by phone to resolve account balances on all assigned accounts.
  • Works all correspondence within 24 hours or receipt, detailing notes regarding correspondence in the client's system.
  • Works all denials, taking necessary actions to obtain account resolution, and submits appeals as appropriate for all non-clinical denials.
  • Monitors all denials for trends and issues, reporting findings to supervisor, and bills or re-bills claims as necessary.
  • Ensures the client follows all state and federal rules and regulations, both billing and HIPAA, and completes assigned special projects within given time frames.
  • Attends training sessions and seminars offered by the Client and Third-Party Payers, appropriately documents each account worked in the client's practice management system, and makes necessary corrections.
  • 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, and 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, and utilizes desktop applications, including Word and Excel.
Requirements
  • High School Diploma or equivalent
  • 1-year experience in office, customer service, or healthcare field preferred
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

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.