Patient Account Representative - Hospital Claims Follow-UP

Overview

Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.

Responsibilities

The Insurance Patient Account Representative 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 will first start as remote, then transition to the Lewisville, TX office in the future.

Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836.

Essential Job Functions

• Account Review
• Appeals & Denials
• Medicare/Medicaid
• Insurance Follow-up
• Customer Service
• Billing
• UB-04 & CMS 1500

Duties and Responsibilities

• 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.

Client Responsibility

• 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.

Qualifications

• High School Diploma minimum
• 1+ year’s medical provider experience working with UB04, appeals & denials.

Preferred:

• 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.

Additional Requirements

• The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Disclaimer

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. 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.

Rewards and Benefits:

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.

Job Type: Full-time

COVID-19 considerations:
This position will be able to work from home until further notice. Pending re-opening of our Lewisville office.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

COVID-19 considerations:
Position will be based virtually and move to office once deemed safe for Team Members.

Company's website:

• https://guidehouse.com/

Benefit Conditions:

• Waiting period may apply

Work Remotely:

• Temporarily due to COVID-19

COVID-19 Precaution(s):

• Remote interview process
• Social distancing guidelines in place
• Virtual meetings
• Sanitizing, disinfecting, or cleaning procedures in place