Patient Account Representative - A/R Follow Up Team
Job Family
Travel Required
Clearance Required
What You Will Do
Patient Account Representative
The qualified individual will be receiving incoming calls and making outbound calls.
- Analyzes and researches reasons for denied and underpaid claims.
- Determines and executes best approach for resolution.
- Identifies issues and trends and reports to manager.
- Maintains confidential system and payer website access.
- Follows QBS account management protocols and strategies.
- Maintains current knowledge of all relevant systems as well as federal and state billing regulations.
- Maintains current knowledge of contract terms and conditions related to claim resolution.
- Corresponds with third party payers, according to established protocols, to obtain status and payment.
- Communicates with clients, as needed, to expedite claim resolution.
- Performs any and all job-related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/ R goals.
What You Will Need
- 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 the following: medial insurance claims follow-ups, payer portals, and clearinghouses
- Working experience with an EHR and EMR systems
What Would Be Nice to Have
- 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.
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The annual salary range for this position is $31,000.00-$51,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
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 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
About Guidehouse
Not included in the source posting: what you'll do.
Skills
Who can apply
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