Patient Account Representative
5 days ago
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. This role works closely with other departments to facilitate the meeting of both departmental facility goals and objectives.
Key Responsibilities- Contact third-party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts.
- Work all correspondence within 24 hours of receipt, detailing notes regarding correspondence in the client's system.
- Work all denials, taking necessary actions to obtain account resolution.
- Submit appeals, as appropriate, for all non-clinical denials.
- Monitor all denials for trends and issues, reporting findings to supervisor.
- Bill or re-bill claims as necessary.
- Ensure the client follows all state and federal rules and regulations, both billing and HIPAA.
- Complete assigned special projects within given time frames.
- Attend training sessions and seminars offered by the client and third-party payers.
- Appropriately document each account worked in the client's practice management system.
- Make necessary corrections in the client's practice management system.
- Resolve or forward all address and/or plan changes as appropriate to ensure the integrity of the insurance master is maintained.
- Update patient accounts with corrected demographic or insurance information.
- Post adjustments based on standard operating procedures or as directed by leadership.
- Handle all customer calls, both internal and external, in a professional and courteous manner.
- Utilize desktop applications, including Word and Excel.
- Initiate and follow through on projects, working independently with minimal supervision.
- High School Diploma or equivalent.
- 1-year experience in office, customer service, or healthcare field preferred.
Guidehouse offers a comprehensive total rewards package, including 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.
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