
10,000+ employees
Founded 2018
đĽ Healthcare
đď¸ Defense
đŚ Logistics
đ° Grant on 2023-02
Healthcare ⢠Defense ⢠Logistics
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.
đĽ 0 minutes ago
đşđ¸ United States â Remote
đľ $44k - $74k / year
â° Full Time
đĄ Mid-level
đ Senior
đŚ H1B Visa Sponsor
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10,000+ employees
Founded 2018
đĽ Healthcare
đď¸ Defense
đŚ Logistics
đ° Grant on 2023-02
Healthcare ⢠Defense ⢠Logistics
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.
⢠Complete denial follow-up and reporting with claim understanding ⢠Prepare reporting to identify trends and provide account guidance through team education ⢠Review denial CARC codes and present denials with an education focus ⢠Train new and current team members on denial follow-up processes ⢠Facilitate resolution by referring matters to appropriate subject matter experts ⢠Escalate matters to supervisors and request information or take action to resolve issues ⢠Perform varied duties across changing tasks efficiently ⢠Communicate issues to management in a timely manner ⢠Communicate with organizational departments to ensure proper handling of patient accounts ⢠Resubmit corrected claims and required supporting documentation ⢠Perform other duties assigned by direct supervisors
⢠HS Diploma/ GED OR 3 years of relevant experience in lieu of education ⢠3+ Years of working experience in medical specialty billing ⢠Strong Claims Understanding - Clean Claim, UB 04 Format, 1500 Format ⢠Strong 835 Remittance Understanding ⢠Working Experience of CARC Codes ⢠Ability to prepare training documentation & presentation skills ⢠Professional client engagement experience ⢠Ability to interpret and apply reimbursement aspects of managed healthcare contracts ⢠Effective and efficient problem solving ⢠HIPAA Knowledge ⢠Strong Lines of Communication ⢠Self-Motivated to gain knowledge of processes and denials reporting ⢠Microsoft Office Knowledge ⢠Ability to Communicate in Group Setting with Professional Leadership Communication ⢠Time Management Skills ⢠Organizational Skills
⢠Medical, Rx, Dental & Vision Insurance ⢠Personal and Family Sick Time & Company Paid Holidays ⢠Discretionary variable incentive bonus eligibility ⢠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 ⢠Flexible benefits package
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