Patient Account Representative - Medical Billing and Claims

Job Family:

Patient Account Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:

Assists patients in interpreting hospital policies, procedures, and services, and in obtaining solutions to problems and concerns. Identifies priority patient satisfaction issues and suggests recommendations for resolution. Educates patients and their families about patient rights in accordance with state law. May also assist in the handling of patient inquiries, correct/update billing details.

• Under general supervision and according to established policies and procedures, performs a variety of duties related to processing of overpayments made to UAHSF MSO /UAB Hospital.  

• Duties may include but are not limited to; timely and accurately processing of overpayment requests, post contractual adjustments, write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party payers in response to overpayment requests and/or to obtain insurance hierarchy information. 

• Communicates issues to management timely.  Performs other duties as assigned by direct supervisor.

What You Will Need:

Patient Account Rep

• High school diploma or equivalent

• 0-2 years of prior relevant experience and general knowledge of payer-specific or medical billing

What You Will Need:

Patient Account Rep II

• High school diploma or equivalent

• 1-3 years of prior relevant experience and general knowledge of payer-specific or medical billing

What Would Be Nice to Have:

• Previous experience in working credit balance accounts and processing patient and insurance overpayments.

• Experience working with specialized insurance companies.

• Ability to evaluate complex situations; identify root cause and propose solutions.

• Experience working with UB04 and CMS 1500 claim forms, appeal and denials.

• Knowledge of CPT and ICD-10 coding

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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

• 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 Opportunity Employer–Protected 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 at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. 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 @guidehouse.com or guidehouse@myworkday.com.  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