Patient Account Representative – Medicare, Medicaid, Commercial Claims

Vaga não está no LinkedIn

🕒 Julho 29

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $34.000 - $56.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💰 Gerente de Contas

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Guidehouse

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 2018

🏥 Saúde

🎖️ Defesa

📦 Logística

💰 Grant em 2023-02

Healthcare • Defense • Logistics

A Guidehouse é uma consultoria global que oferece serviços de consultoria, digitais e gerenciados nos setores comercial e público. Ela é projetada para apoiar indústrias como segurança nacional, serviços financeiros, saúde, energia e infraestrutura. A Guidehouse colabora com líderes para navegar na complexidade e impulsionar mudanças transformacionais que impactam o futuro. Sua expertise abrange análise de dados, tecnologias digitais, gestão de riscos e mais, com forte ênfase em sustentabilidade e inovação.

Descrição

• Facilitate the billing and collection processes of outstanding accounts receivable • Communicate with internal and external contacts to explain primary, secondary and tertiary billing, collection and resolution of claims including Medicare and other government and nongovernment accounts • Monitor daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments; alert management of high call volume patterns • Handle incoming and outgoing billing correspondence and phone inquiries relating to patient, third party administrators, attorneys, vendors and other insurance payers • Document conversations and/or actions taken to support all claims inquiries, review and/or reconsiderations; streamline the follow-up process of team members assisting on the file • Analyze claims to determine compliant and accurate coding, charging; review file to confirm demographic and billing information is updated • Work to resolve any claim or billing concerns and take appropriate action to escalate issues to management when appropriate • Perform follow-up processes on accounts to work towards a zero balance • File a timely reconsideration or review of claim with supporting documentation such as a corrected claim, medical records and letter of explanation as necessary; communicate with departments to gather information needed to resolve the claim • Perform balance transfers UB-04 & CMS 1500 • Complete all business-related requests and correspondence from patients and insurance companies • Responsible for working on average 35 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

🎯 Requisitos

• High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED • 0-2+ year's experience in office, business, operations, customer service or healthcare field • Previous experience working in insurance portals • PC skills in a Windows environment • Knowledge and utilization of desktop applications to include Word and Excel

🏖️ Benefícios

• 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