Patient Account Specialist

1 week ago

Birmingham, Alabama, United States Guidehouse Full time

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 as necessary. This role collaborates with various departments to achieve both departmental and facility objectives. The representative is accountable for resolving accounts and must possess the ability to identify solutions to issues while keeping management informed of trends related to payments and other payer-related concerns.

The Patient Account Representative should have a comprehensive understanding of billing processes, accounts receivable follow-up, timely filing regulations, and the capability to effectively analyze remittance advices and electronic billing reports from payers to determine required actions. This position encompasses all related duties as assigned.

This is an onsite position.

Responsibilities Include:

  • Engaging with third-party payers and guarantors through payer websites or phone to resolve outstanding account balances.
  • Managing all correspondence within 24 hours of receipt, ensuring detailed notes are entered into the client’s system.
  • Addressing all denials and taking necessary steps to achieve account resolution.
  • Submitting appeals for all non-clinical denials as appropriate.
  • Monitoring denials for trends and reporting findings to the supervisor.
  • Billing or re-billing claims as required.
  • Ensuring compliance with all state and federal billing regulations and HIPAA guidelines.
  • Completing assigned special projects within designated time frames.
  • Participating in training sessions and seminars provided by the Client and Third-Party Payers.
  • Documenting each account worked in the client practice management system.
  • Making necessary corrections in the client practice management system.
  • Resolving or forwarding all address and/or plan changes to maintain the integrity of the insurance master.
  • Updating patient accounts with corrected demographic or insurance details.
  • Posting adjustments based on standard operating procedures or as directed by leadership.
  • Handling all customer calls, both internal and external, in a professional and courteous manner.
  • Demonstrating proficiency in a Windows environment.
  • Utilizing desktop applications, including Word and Excel, is essential.
  • Exhibiting the ability to initiate and follow through on projects while working independently with minimal supervision.


Qualifications:

  • High School Diploma/GED or 3 years of relevant experience in lieu of diploma/GED.
  • Preferred: 1-year experience in an office, customer service, or healthcare environment.


Preferred Qualifications:

  • 1+ years of experience in Revenue Cycle.
  • Experience with Medicaid and/or Government Payers.


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, 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.

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