Patient Account Representative – Medicare, Medicaid, Commercial Claims

🕒 May 12

🇺🇸 United States – Remote

💵 $34k - $56k / year

⏰ Full Time

🟢 Junior

💰 Account Manager

🚫👨‍🎓 No degree required

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This company has sponsored H1B visas in the past.

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

💰 Grant on 2023-02

Consulting • Digital Services • Public Sector

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• The Insurance Patient Account Representative 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. • Communicates 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. • Facilitates the billing and collection processes of outstanding accounts receivable. • Monitors daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments; alerts management of high call volume patterns. • Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic and billing information is updated. • Works to resolve any claim or billing concerns and takes appropriate action to escalate issues to management when appropriate. • Performs follow-up processes on accounts to work towards a zero balance.

🎯 Requirements

• High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED. • 6 months - 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 is essential. • Ability to initiate and follow through on projects and work independently with minimal supervision

🏖️ Benefits

• 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