Patient Account Representative - Physician Claims

December 9

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Guidehouse

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consulting • advisory • digital • technology • managed services

10,000+ employees

Founded 2018

💰 Grant on 2023-02

Description

• The Patient Account Representative (PAR) is expected to perform specific billing processes, follow-up, account resolution, adjustments, and scanning as required. • Works with other departments to meet goals and objectives. • Contacts third party payers and guarantors to resolve account balances. • Works all correspondence within 24 hours of receipt. • Details notes regarding correspondence must be entered into the client’s system. • Works all denials and necessary actions to obtain account resolution. • Submits appeals for all non-clinical denials. • Monitors all denials for trends and reports findings to supervisor. • Bills or re-bills claims as necessary. • Ensures compliance with state and federal rules and regulations. • Completes assigned projects within time frames. • Attends training sessions and seminars. • Appropriately documents work in client management system. • Makes necessary corrections in the client’s system. • Updates patient accounts with corrected demographic info. • Posts adjustments based on operating procedures. • Handles all customer calls professionally.

Requirements

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED. • 1-3+ year's experience in office, business, operations, customer service or healthcare field. • Previous experience working with insurance portals is a plus. • 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.

Benefits

• 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