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Healthcare Billing Specialist
2 months ago
Job Family:
Patient Account Representative
Travel Required:
None
Clearance Required:
None
Key Responsibilities:
The Patient Account Representative (PAR) is tasked with executing specific billing functions, conducting follow-ups, resolving accounts, making adjustments, and performing scanning duties as necessary. This role collaborates with various departments to achieve both departmental and facility objectives. The PAR is accountable for resolving account discrepancies.
It is crucial to identify solutions to issues and keep management updated on trends related to payments or other concerns with specific payers. This position operates in a Hybrid model, requiring two days in the office and three days of remote work.
For inquiries about this role, please reach out to the Talent Acquisition Manager. The Patient Account Representative should possess comprehensive knowledge of billing practices, accounts receivable follow-up, timely filing protocols, and the capability to effectively analyze remittance advices and electronic billing reports from payers to determine necessary actions.
This position encompasses all related job functions as assigned.
Duties and Responsibilities:
- Engage with third-party payers and guarantors through payer websites or phone calls to resolve outstanding account balances on assigned accounts.
- Address all correspondence within 24 hours of receipt.
- Document detailed notes regarding correspondence in the client’s system.
- Manage all denials and take appropriate actions to achieve account resolution.
- Submit appeals for all non-clinical denials as needed.
- Monitor denial trends and report findings to the supervisor.
- Bill or re-bill claims as required.
- Ensure compliance with all state and federal regulations regarding billing and HIPAA.
- Complete assigned special projects within designated timeframes.
- Attend training sessions and seminars provided by the Client and Third-Party Payers.
- Accurately document each account worked in the client practice management system.
- Make necessary corrections in the client practice management system.
- Resolve or forward all address and/or plan changes as necessary to maintain the integrity of the insurance master.
- Update patient accounts with corrected demographic or insurance information.
- Post adjustments according to standard operating procedures or as directed by leadership.
- Handle all customer interactions, both internal and external, in a professional and courteous manner.
Qualifications:
- 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 with insurance portals.
- Proficiency in a Windows environment is required.
- Familiarity with desktop applications, including Word and Excel, is essential.
What We Offer:
Guidehouse provides a comprehensive total rewards package that includes competitive compensation and a flexible benefits package reflecting our commitment to fostering a diverse and supportive workplace.
Benefits Include:
- Medical, Rx, Dental & Vision Insurance.
- Personal and Family Sick Time & Company Paid Holidays.
- Potential eligibility for a discretionary variable incentive bonus.
- Parental Leave.
- 401(k) Retirement Plan.
- Basic Life & Supplemental Life Insurance.
- 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.
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.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with applicable law or ordinance.
If you require an accommodation during the application process, please contact Guidehouse Recruiting.
All information provided will be kept confidential and used only as necessary to provide reasonable accommodations.
Guidehouse does not accept unsolicited resumes 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.
