[Hiring] Patient Account Representative @Guidehouse

Role Description

The Patient Account Representative is an extension of a client’s business office staff. Patient accounting representatives are responsible for timely and effective resolution of unpaid accounts. They perform a variety of duties including:

• Claim editing
• Billing
• Follow up
• Payment and adjustment processing

This is a 100% remote position. The qualified individual will be:

• Receiving incoming calls and making outbound calls
• Analyzing and researching reasons for denied and underpaid claims
• Determining and executing best approach for resolution
• Identifying issues and trends and reporting to manager
• Maintaining confidential system and payer website access
• Following QBS account management protocols and strategies
• Maintaining current knowledge of all relevant systems as well as federal and state billing regulations
• Maintaining current knowledge of contract terms and conditions related to claim resolution
• Corresponding with third party payers, according to established protocols, to obtain status and payment
• Communicating with clients, as needed, to expedite claim resolution
• Performing any and all job-related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/R goals

Qualifications

• High School Diploma or GED or 3+ years of relevant equivalent experience in lieu of diploma / GED
• 1-3+ years working within revenue cycle, health insurance, or healthcare customer service
• Working knowledge of medical insurance claims follow-ups, payer portals, and clearinghouses
• Working experience with EHR and EMR systems

Requirements

• Meditech Experience
• Epic Experience
• PC skills in a Windows environment
• Knowledge and utilization of desktop applications to include Word and Excel
• Bilingual Spanish
• 1+ year experience working in a Healthcare or Customer Service setting
• 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