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Patient Account Representative - Physician Claims

Jobs for Humanity

Patient Account Representative - Physician Claims

Lewisville, TX
Full Time
Paid
  • Responsibilities

    Job Description

    ** Job Title:**

    Patient Account Representative

    ** Travel Requirement:**

    None

    ** Clearance Requirement:**

    None

    ** Job Description:**

    The Patient Account Representative (PAR) is responsible for performing specific billing processes, account resolution, adjustments, and scanning as required. They work with other departments to meet facility goals and objectives. The PAR is responsible for finding solutions to payment problems and keeping management updated on issues with specific payers.

    The PAR has extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines, and reviewing remittance advices and electronic billing reports. They perform all assigned job duties related to these tasks.

    ** Responsibilities:**

    • Contact third-party payers and guarantors to resolve account balances

    • Handle correspondence within 24 hours and provide detailed notes in the client's system

    • Work on denials and take necessary actions for account resolution

    • Submit appeals for non-clinical denials

    • Monitor denials for trends and report findings to supervisor

    • Bill or re-bill claims as necessary

    • Ensure compliance with billing rules, regulations, and HIPAA

    • Complete assigned special projects within specified timeframes

    • Attend training sessions and seminars

    • Document each account worked in the client's system

    • Make necessary corrections in the client's system

    • Update patient accounts with corrected information

    • Handle customer calls in a professional and courteous manner

    ** Requirements:**

    • High School Diploma or equivalent

    • 1-year experience in office, customer service, or healthcare field preferred

    • PC skills in a Windows environment

    • Knowledge of Word and Excel

    • Ability to work independently and follow through on projects

    ** Preferred Experience:**

    • Previous experience working in insurance portals

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    ** Benefits:**

    Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package. Our commitment to creating a diverse and supportive workplace is reflected in our benefits, which include:

    • Medical, Rx, Dental & Vision Insurance

    • Personal and Family Sick Time & Company Paid Holidays

    • Discretionary variable incentive bonus

    • Parental Leave

    • 401(k) Retirement Plan

    • Basic Life & Supplemental Life Insurance

    • 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 committed to creating a diverse and supportive workplace. We value and respect individuals from all backgrounds and walks of life, including elderly individuals, refugees, people with visible and invisible disabilities, LGBTQIA+ individuals, and veterans.

    If you have visited our website for employment information or to apply for a position and require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. We are committed to providing needed reasonable accommodations and will keep all information confidential.

    Guidehouse does not accept unsolicited resumes through search firms or staffing agencies. Any unsolicited resumes received will be considered the property of Guidehouse, and no placement fee will be paid.