Hospital Admissions Representative
2 weeks ago
Job Summary:
The Hospital Admissions Representative will be responsible for performing specific billing processes, follow-up, account resolution, adjustments, and scanning as required. This position will work with other departments to facilitate the meeting of both departmental facility goals and objectives.
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 of receipt, detailing notes regarding correspondence in 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, reporting findings to the 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 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.
- Makes necessary corrections in the client's 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.
Requirements:
- High School Diploma or equivalent GED.
- 1-year experience in office, business, operations, customer service, or healthcare field.
Preferred Qualifications:
- Previous experience working in insurance portals.
- PC skills in a Windows environment are required.
- Knowledge and utilization of desktop applications, including Word and Excel, are essential.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
About Guidehouse:
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.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance, including the Fair Chance Ordinance of Los Angeles and San Francisco.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
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