Patient Account Representative - Hospital A / R - Commercial & Government

Job Description

Job Family :

Patient Account Representative

Travel Required : None

Clearance Required : None

What You Will Do :

The Insurance Patient Account Representative - Hospital A / R Emphasis is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and making out-going 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 is classified under a hybrid schedule. Working two days in the San Marcos office and three days from home.

Essential Job Functions

Hospital Claims

Account Review

Appeals & Denials

Medicare / Medicaid

Insurance Follow-up

Customer Service

Billing

UB-04

Duties & Responsibilities

Complete all business-related requests and correspondence from patients and insurance companies.

Responsible for working on 40 + / - 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+ years relevant experience within healthcare, insurance, business and / or revenue cycle operations.

What Would Be Nice To Have :

1+ year’s medical provider experience working with UB04, appeals & denials.

Hospital or EOB claims emphasis

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 required.

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The annual salary range for this position is $38,000.00-$63,000.00. 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

Guidehouse is an Equal Opportunity Employer–Protected 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 Guidehouse’s 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 applicant’s 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.