Patient Account Representative – Physician Claims

🕒 May 10

🇺🇸 United States – Remote

💵 $38k - $64k / year

⏰ Full Time

🟢 Junior

💰 Account Manager

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• 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

🎯 Requirements

• 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

🏖️ 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