Patient Account Representative – Physician Claims

🕒 Maio 10

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $38.000 - $64.000 / ano

⏰ Tempo Integral

🟢 Júnior

💰 Gerente de Contas

🚫👨‍🎓 Sem graduação necessária

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Guidehouse

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 2018

💰 Grant em 2023-02

Consulting • Digital Services • Public Sector

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

• 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

🎯 Requisitos

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED • 1-3+ year's experience in office, business, operations, customer service or healthcare field • Previous experience working with insurance portals • 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

🏖️ 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