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Healthcare Account Specialist

2 months ago


San Antonio, Texas, United States Guidehouse Full time
Healthcare Account Specialist

Travel Requirements:

We are currently seeking qualified candidates for hybrid positions that involve working three days remotely and two days in the office.

In this full-time position, we provide a comprehensive total rewards package that includes competitive salary and a flexible benefits plan, reflecting our dedication to fostering a diverse and inclusive workplace.

The Healthcare Account Specialist serves as an integral part of our client's business operations. Specialists are tasked with managing incoming and outgoing communications with patients and insurance providers to address account discrepancies. Adherence to all client policies and procedures is mandatory.
Key Responsibilities:
~ Account Management
~ Customer Support
~ Account Maintenance
~ Medical Billing Processes
~ Medicare/Medicaid
~ Commercial & Federal Insurance
~ UB-04 & CMS 1500 Forms
~ Manage 40-70 Accounts Daily

Ensure timely completion of all assigned tasks.
Investigate and respond to patient inquiries received via phone and mail.
Update patient demographic data and initiate necessary account modifications.
Strive to resolve account balances to zero before accounts are escalated to external collection agencies.

Qualifications:
~ Minimum of 1 year experience in customer service or healthcare environment.
~ At least 1 year of experience in medical provider settings dealing with UB04, appeals, and denials.
~ Strong customer service skills are essential.
~ Proficiency in PC applications within a Windows environment, particularly Microsoft Word and Excel.

Familiarity with desktop applications, including Word and Excel, is crucial for fulfilling job responsibilities.
Ability to initiate and complete projects independently with minimal oversight.


Guidehouse provides a comprehensive total rewards package that includes competitive compensation and a flexible benefits plan, emphasizing our commitment to creating a diverse and supportive workplace.

Benefits Include:
~ Medical, Rx, Dental & Vision Insurance
~ Personal and Family Sick Leave & Company Paid Holidays
~ 401(k) Retirement Savings Plan
~ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
~ Short-Term & Long-Term Disability Coverage
~ Tuition Reimbursement, Personal Development & Learning Opportunities
~ Corporate Sponsored Events & Community Engagement
~ All qualified applicants will receive equal 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.

If you require an accommodation during the application process, please reach out to our recruiting team. All information provided will be kept confidential and used solely for the purpose of providing necessary accommodations.