Patient Account Representative - Hospital Claims A/R

Job Family:

Patient Account Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:
 

The Insurance Patient Account Representative - Hospital A/R Emphasis is an extension of a client’s business office staff. Representatives are 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. Representatives will perform any and all job-related duties as assigned.

 

This position offers an attractive hybrid schedule working two days in the office and three days from home.

Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at (424) 430-3111

Essential Job Functions

• Hospital Claims

• Account Review

• Appeals & Denials

• Medicare/Medicaid

• Insurance Follow-up

• Customer Service

• Billing

• UB-04 & CMS 1500

• Complete all business-related requests and correspondence from patients and insurance companies.

• Responsible for working on 40-70 Accounts Per Day

• Complete all assigned projects in a timely manner. 

• Assist client and patients in all requested tasks.

• Communicate to Guidehouse management areas of concern or areas of improvement. 

• Research and respond to all patient inquiries received by telephone and mail.

• Update patient demographic information and initiate account adjustments.

• Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

What You Will Need:

• High School Diploma/GED or 3 years of relevant equivalent experience in lieu of diploma/GED 

• 1+ years of relevant experience

What Would Be Nice To Have:

• 1+ year’s medical provider experience working with UB04, appeals & denials.

• Hospital or EOB claims emphasis

• PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

• Ability to initiate and follow through on projects and work independently with minimal supervision required.

#IndeedSponsored

The annual salary range for this position is $37,600.00-$56,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

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 applicants with criminal histor