Patient Account Representative - Physician Claims
Company: Guidehouse
Location: Lewisville
Posted on: October 22, 2024
Job Description:
Job Family:Patient Account RepresentativeTravel
Required:NoneClearance Required:NoneWhat You Will Do:The Patient
Account Representative (PAR) is expected to perform specific
billing processes, follow-up, account resolution, adjustments and
scanning as required. This position works with other departments to
facilitate the meeting of both departmental facility goals and
objectives. This position is responsible for account resolution. -
Ability to find solutions to problems and keeping management
informed of patterns regarding payments and or other issues with
specific payers is essentialThis is a Hybrid position working two
days in the Lewisville, TX office and three days working from
home.Questions regarding this position, you may contact Chris
Rivera (Manager, Talent Acquisition) at 424-430-3111.The Patient
Account Representative has an extensive knowledge of billing,
accounts receivable follow-up, timely filing guidelines and the
ability to effectively review remittance advices and electronic
billing reports from payer to determine the action required. This
position performs all related job duties as assigned.Duties and
Responsibilities
- 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.What You Will Need:
- High School Diploma / GED or 3 years of relevant equivalent
experience in lieu of Diploma / GED.
- 0-2+ year's experience in office, business, operations,
customer service or healthcare field.What Would Be Nice To Have:
- Previous experience working in 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#IndeedSponsoredWhat We
Offer:Guidehouse offers a comprehensive, total rewards package that
includes competitive compensation and a flexible benefits package
that reflects our commitment to creating a diverse and supportive
workplace.Benefits include:
- 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 ProgramAbout GuidehouseGuidehouse
is an Equal Employment Opportunity / Affirmative Action employer.
All qualified applicants will receive consideration for employment
without regard to race, color, national origin, ancestry,
citizenship status, military status, protected veteran status,
religion, creed, physical or mental disability, medical condition,
marital status, sex, sexual orientation, gender, gender identity or
expression, age, genetic information, or any other basis protected
by law, ordinance, or regulation.Guidehouse will consider for
employment qualified applicants with criminal histories in a manner
consistent with the requirements of applicable law or ordinance
including the Fair Chance Ordinance of Los Angeles and San
Francisco.If you have visited our website for information about
employment opportunities, or to apply for a position, and you
require an accommodation, please contact Guidehouse Recruiting at
1-571-633-1711 or via email at . All information you provide will
be kept confidential and will be used only to the extent required
to provide needed reasonable accommodation.Guidehouse does not
accept unsolicited resumes through or from search firms or staffing
agencies. All unsolicited resumes will be considered the property
of Guidehouse and Guidehouse will not be obligated to pay a
placement fee.
Keywords: Guidehouse, Denton , Patient Account Representative - Physician Claims, Healthcare , Lewisville, Texas
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