Guidehouse
Sr. Patient Account Rep | Hospital Billing and Follow Up
Guidehouse, Birmingham, Alabama, United States, 35275
Sr. Patient Account Rep | Hospital Billing and Follow Up
Join to apply for the
Sr. Patient Account Rep | Hospital Billing and Follow Up
role at
Guidehouse Sr. Patient Account Rep | Hospital Billing and Follow Up
1 day ago Be among the first 25 applicants Join to apply for the
Sr. Patient Account Rep | Hospital Billing and Follow Up
role at
Guidehouse Get AI-powered advice on this job and more exclusive features. What You Will Do
The Senior Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds and scanning as required. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers. The Senior Patient Account Representative has an extensive knowledge of billing, managed care, 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. Job Family
Patient Account Representative
Travel Required
None
Clearance Required
None
What You Will Do
The Senior Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds and scanning as required. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers. The Senior Patient Account Representative has an extensive knowledge of billing, managed care, 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.
Location:
Avondale Business Office
Onsite, Hybrid, or Remote:
Onsite - possibly Hybrid after 6 months
Position type:
Full Time, Days, Monday-Friday
Primary Duties And Responsibilities
Training and development of staff including creating, updating, and maintaining training manual. New hire training and feedback, assist staff with questions, taking ownership and finding the answer. Assist Supervisor as needed. Run daily WIP report and communicate any trends same day. Complete all assigned spreadsheets and reports timely. Contacts third party payers and guarantors electronically and via phone to resolve account balances on all assigned accounts. Works all correspondence within 24 hours or receipt. Detail notes regarding correspondence must be entered into the system. Works all denials within 48 hours of receipt taking whatever action may be required to obtain account resolution. Appeals all accounts denied for medical necessity, authorizations, length of stay and timely filing issues. Monitors all denials for trends and issues and reports finding to supervisor. Bills or re-bills, as necessary. Ensures the hospital is in compliance with all state and federal rules and regulations both billing and HIPAA. Assigned special projects will be completed within the time frames given. Facilitate and/or conduct training sessions and seminars offered by the Hospital and Third-Party Payers. Appropriately documents each account worked in patient accounting system. Reviews same day and 72-hour admission report to determine if accounts need to be combined. Makes necessary corrections in electronic billing system. Adjusts billings based on audits and or changes in diagnosis or DRG. Updates patient accounts with corrected demographic or insurance information. Posts adjustments. Calls insurance companies to obtain correct information when unable to identify if account payment is to be posted. Respond to all emails both internal and external in a professional and courteous manner and within 24 hours. Follows the mission state and values established by the facility. Stays current with HIM trends, relevant rules, regulations, and directives from regulatory agencies and third-party payers.
What You Will Need
High School diploma. 1-3 years billing or follow-up experience in healthcare field.
What Would Be Nice To Have
Metrix system knowledge Waystar Billing System knowledge CPAR certification preferred. Excellent communication and interpersonal skills Experience with Microsoft Excel and Word.
#IndeedSponsored
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
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.
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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
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.
Seniority level
Seniority level
Associate Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Business Consulting and Services Referrals increase your chances of interviewing at Guidehouse by 2x Get notified about new Patient Account Representative jobs in
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Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Join to apply for the
Sr. Patient Account Rep | Hospital Billing and Follow Up
role at
Guidehouse Sr. Patient Account Rep | Hospital Billing and Follow Up
1 day ago Be among the first 25 applicants Join to apply for the
Sr. Patient Account Rep | Hospital Billing and Follow Up
role at
Guidehouse Get AI-powered advice on this job and more exclusive features. What You Will Do
The Senior Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds and scanning as required. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers. The Senior Patient Account Representative has an extensive knowledge of billing, managed care, 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. Job Family
Patient Account Representative
Travel Required
None
Clearance Required
None
What You Will Do
The Senior Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds and scanning as required. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers. The Senior Patient Account Representative has an extensive knowledge of billing, managed care, 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.
Location:
Avondale Business Office
Onsite, Hybrid, or Remote:
Onsite - possibly Hybrid after 6 months
Position type:
Full Time, Days, Monday-Friday
Primary Duties And Responsibilities
Training and development of staff including creating, updating, and maintaining training manual. New hire training and feedback, assist staff with questions, taking ownership and finding the answer. Assist Supervisor as needed. Run daily WIP report and communicate any trends same day. Complete all assigned spreadsheets and reports timely. Contacts third party payers and guarantors electronically and via phone to resolve account balances on all assigned accounts. Works all correspondence within 24 hours or receipt. Detail notes regarding correspondence must be entered into the system. Works all denials within 48 hours of receipt taking whatever action may be required to obtain account resolution. Appeals all accounts denied for medical necessity, authorizations, length of stay and timely filing issues. Monitors all denials for trends and issues and reports finding to supervisor. Bills or re-bills, as necessary. Ensures the hospital is in compliance with all state and federal rules and regulations both billing and HIPAA. Assigned special projects will be completed within the time frames given. Facilitate and/or conduct training sessions and seminars offered by the Hospital and Third-Party Payers. Appropriately documents each account worked in patient accounting system. Reviews same day and 72-hour admission report to determine if accounts need to be combined. Makes necessary corrections in electronic billing system. Adjusts billings based on audits and or changes in diagnosis or DRG. Updates patient accounts with corrected demographic or insurance information. Posts adjustments. Calls insurance companies to obtain correct information when unable to identify if account payment is to be posted. Respond to all emails both internal and external in a professional and courteous manner and within 24 hours. Follows the mission state and values established by the facility. Stays current with HIM trends, relevant rules, regulations, and directives from regulatory agencies and third-party payers.
What You Will Need
High School diploma. 1-3 years billing or follow-up experience in healthcare field.
What Would Be Nice To Have
Metrix system knowledge Waystar Billing System knowledge CPAR certification preferred. Excellent communication and interpersonal skills Experience with Microsoft Excel and Word.
#IndeedSponsored
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
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.
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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
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.
Seniority level
Seniority level
Associate Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Business Consulting and Services Referrals increase your chances of interviewing at Guidehouse by 2x Get notified about new Patient Account Representative jobs in
Birmingham, AL . Patient Account Rep - Non-government | Full Time, Days, Onsite
Patient Account Rep - Non-government | Full Time, Days, Onsite
Patient Account Rep - Non-government | Full Time, Days, Onsite
Patient Account Rep - Non-government | Full Time, Days, Onsite
Patient Account Rep | Hospital Billing and Follow Up
RCM Medical Billing Reimbursement Specialist
Credit Balance Sr. Patient Account Representative
Third Party Patient Account Representative- Government Payers-Onsite
Patient Account Rep -Insurance and Follow up
Pharmacy Technician - Specialty Pharmacy Patient Accounts Representative - Days
Patients Accounts Coordinator-Temporary Services
Business Office Manager/Medical Billing Supervisor
Optical Billing Specialist - UAB Hospital-Callahan Eye
Billing Specialist - Medical Professional Liability
Patient Account Representative- Medical Insurance Claims Follow Up/Hospital Billing
Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr