Patient Account Representative - Physician Claims
📋 Role Overview & Responsibilities
Job Family
Patient Account Representative
Travel Required
None
Clearance Required
None
What 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 essential
Questions regarding these openings, please call Chris Rivera (Manager, Talent Acquisition) at 424-430-3111.
These positions are on a Hybrid Schedule working two days in the office and three days from home.
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 systemWorks all denials taking necessary actions to obtain account resolutionSubmits appeals, as appropriate, for all non-clinical denialsMonitors all denials for trends and issues and reports findings to supervisorBills or re-bills claims as necessaryEnsures the client follows all state and federal rules and regulations both billing and HIPAACompletes assigned special projects within the time frames givenAttend training sessions and seminars offered by the Client and Third-Party Payers.Appropriately documents each account worked in client practice management systemMakes 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 maintainedUpdates patient accounts with corrected demographic or insurance information Posts adjustments based on standard operating procedures or as directed by leadershipHandles all customer calls both internal and external in a professional and courteous manner.
What You Will Need
High School Diploma or equivalent GED1-year experience in office, business, operations, customer service or healthcare field.
What Would Be Nice To Have
Previous experience working in insurance portalsPC 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
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What 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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare Program
About Guidehouse
Guidehouse 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 RecruitingAccommodation@guidehouse.com. 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.
Frequently Asked Questions
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Is this position eligible for remote work or visa sponsorship? ▼
This position is located in Lewisville, TX with potential relocation and sponsorship assistance depending on candidate qualifications.
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