Patient Account Representative

6 days ago


San Marcos, California, United States Guidehouse Full time

Job Summary:

The Insurance Patient Account Representative - Medi-Cal / HMO Emphasis 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:

  • Process and resolve Medi-Cal and HMO claims in a timely and accurate manner.
  • Review and analyze account information to identify and resolve discrepancies.
  • Communicate with patients and insurance companies to resolve account balances and address any concerns.
  • Work with clients to implement and maintain accurate and up-to-date patient demographic information.
  • Initiate and follow through on projects and work independently with minimal supervision.
  • Collaborate with the client's business office staff to ensure seamless communication and resolution of account balances.
  • Perform other job-related duties as assigned.

Requirements:

  • High School Diploma or equivalent.
  • 1+ year's medical provider experience working with UB04, appeals & denials.
  • PC skills in a Windows environment, with knowledge and utilization of desktop applications to include Word and Excel.

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


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