Patient Account Representative - Physician Claims
Patient Account Representative - Physician Claims
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Salary Not Disclosed
1 Vacancy
Job Description
Job Family:
Patient Account Representative
Travel Required:
Clearance Required:
What You Will Do:
The Patient Account Representative (PAR) is expected to perform specific billing processes followup account resolution adjustments and scanning as required. This position works with other departments to facilitate the meeting of both departmental facility goals and objectives. This position is responsible for account resolution. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers is essential
The Patient Account Representative has an extensive knowledge of billing accounts receivable followup timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.
Duties and Responsibilities
Contacts 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 or receipt. Detail notes regarding correspondence must be entered into the clients system
Works all denials taking necessary actions to obtain account resolution
Submits appeals as appropriate for all nonclinical denials
Monitors all denials for trends and issues and reports findings to supervisor
Bills or rebills claims as necessary
Ensures the client follows all state and federal rules and regulations both billing and HIPAA
Completes assigned special projects within the time frames given
Attend training sessions and seminars offered by the Client and ThirdParty Payers.
Appropriately documents each account worked in client practice management system
Makes necessary corrections in client practice management system.
Resolves or forwards all address and / or plan changes as appropriate to ensure the integrity of the insurance master is maintained
Updates patient accounts with corrected demographic or insurance information
Posts adjustments based on standard operating procedures or as directed by leadership
Handles all customer calls both internal and external in a professional and courteous manner.
What You Will Need:
High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED.
13 years experience working in an office business operations customer service or healthcare field.
What Would Be Nice To Have:
Previous experience working with insurance portals
PC skills in a Windows environment.
Knowledge and utilization of desktop applications to include Word and Excel.
Ability to initiate and follow through on projects and work independently with minimal supervision.
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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
ShortTerm & LongTerm Disability
Tuition Reimbursement Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency BackUp Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities 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 including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting ator via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
