Patient Account Representative - Hospital Onsite

Job Family:

Patient Account Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:

• Coordinate delivery of prescriptions provided through the specialty pharmacy, working within the limitations of standard practice

• Obtain patient’s benefit information for home infusion services, and provide financial counseling to patient

• Communicate with patients to obtain required information to process prescriptions, refills, and access benefits

• Obtain prior authorizations; initiate requests, expedite responses from insurance companies, and maintain contact with patients and pharmacy staff to keep them constantly informed

• Track, report, and escalate service issues pertaining to authorizations, financial assistance, or other issues that delay service

• Document case activity, communications, and correspondence in computer system to ensure completeness and accuracy of patient’s records

• Input charges into computer system for home infusion services to bill to payer

• Perform or assist with any operations, as required to maintain workflow and meet business needs

What You Will Need:

• HS Diploma or equivalent

• Excellent customer service skills

• Good written and verbal communications skills

• Basic computer skills

What Would be nice to have:

• Qualifications Preferred Qualifications: - 1 - 3 years related or general knowledge of payor-specific or medical specialty billing

• Professional and calming tone of voice with complete command of the English language free of use of inappropriate grammar.

• Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact.

• Ability to perform essential job functions with high degree of independence, flexibility, and creative problem-solving techniques.

• Ability to maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found. - Ability to function effectively under stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities.

• Ability to interpret and apply reimbursement aspects of managed healthcare contracts.

• Attentive listening skills.

• Ability to clearly articulate a response to the customer using appropriate voice modulation. - Bilingual (English/Spanish) preferred

• Exceptional customer service skills including effective and efficient problem solving and analyzing skills.

• Dialer experience preferred.

• Additional Requirements The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

• Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire

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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 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 applican