Patient Account Representative
22 hours ago
Job Summary:
The Insurance Patient Account Representative is an extension of a client's business office staff. This role is responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed.
Key Responsibilities:
- Account Review and Analysis
- Appeals and Denials Management
- Medicare and Medicaid Compliance
- Insurance Follow-up and Verification
- Customer Service and Communication
- Billing and Payment Processing
- UB-04 and CMS 1500 Form Completion
- Complete all business-related requests and correspondence from patients and insurance companies.
- Responsible for working on 40-70 Accounts Per Day
- Complete all assigned projects in a timely manner.
- Assist clients and patients in all requested tasks.
- Communicate to Guidehouse management areas of concern or areas of improvement.
- Research and respond to all patient inquiries received by telephone and mail.
- Update patient demographic information and initiate account adjustments.
- Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.
Requirements:
- High School Diploma/GED or 3 years of relevant equivalent experience in lieu of High School Diploma/GED.
- 1+ years medical provider experience working with UB04, appeals & denials.
Preferred Qualifications:
- Active Medicare appeal process experience.
- PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
- Ability to initiate and follow through on projects and work independently with minimal supervision required.
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
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.
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