Guidehouse
Patient Account Representative - Medicare, Medicaid, Commercial Claims
Guidehouse, San Antonio, Texas, United States, 78201
Insurance Patient Account Representative
The
Insurance Patient Account Representative
is an extension of a client's business office staff. Representatives are responsible for taking incoming and making outgoing calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned. This position will be on a hybrid schedule working two days in either the Lewisville, TX or San Antonio, TX offices and three days from home. Essential Job Functions: Account Review Appeals & Denials Medicare/Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 Complete all business-related requests and correspondence from patients and insurance companies. Responsible for working on 40-70 Accounts Per Day Complete all assigned projects in a timely manner. Assist client and patients in all requested tasks. Communicate to Guidehouse management areas of concern or areas of improvement. Research and respond to all patient inquiries received by telephone and mail. Update patient demographic information and initiate account adjustments. Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections. 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. 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 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. 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: Guidehouse is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities 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. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. 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.
The
Insurance Patient Account Representative
is an extension of a client's business office staff. Representatives are responsible for taking incoming and making outgoing calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned. This position will be on a hybrid schedule working two days in either the Lewisville, TX or San Antonio, TX offices and three days from home. Essential Job Functions: Account Review Appeals & Denials Medicare/Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 Complete all business-related requests and correspondence from patients and insurance companies. Responsible for working on 40-70 Accounts Per Day Complete all assigned projects in a timely manner. Assist client and patients in all requested tasks. Communicate to Guidehouse management areas of concern or areas of improvement. Research and respond to all patient inquiries received by telephone and mail. Update patient demographic information and initiate account adjustments. Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections. 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. 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 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. 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: Guidehouse is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities 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. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. 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.