Patient Account Representative - Physician Claims
GuidehouseAbout the role
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, follow-up, 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 follow-up, 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 client’s system
Works all denials taking necessary actions to obtain account resolution
Submits appeals, as appropriate, for all non-clinical denials
Monitors all denials for trends and issues and reports findings to supervisor
Bills or re-bills 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 Third-Party 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.
1-3+ year's 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.
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
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