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Guidehouse

Solving big problems, building trust in society, and empowering our clients to shape the future.

Patient Account Representative – Medicare, Medicaid, Commercial Claims

Account ManagerSalesFull TimeRemoteJuniorTeam 10,001+Since 2018H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

6 days ago

Salary

$34K - $56K / year

Seniority

Junior

High School0.5 yrs expExperience acceptedEnglish

Job Description

• The Insurance Patient Account Representative is responsible for taking incoming and making outgoing calls to patients and insurance companies to resolve account balances. • Facilitate the billing and collection processes of outstanding accounts receivable. • Communicate with internal and external contacts to explain billing, collection and resolution of claims including Medicare and other accounts. • Monitor daily queues for customer services/quality and productivity to maintain acceptable levels as established by the departments. • Handle incoming and outgoing billing correspondence and phone inquiries. • Document conversations and/or actions taken to support all claims inquiries. • Analyze claims to determine compliant and accurate coding, charging; review to confirm demographic and billing information is updated. • Work to resolve any claim or billing concerns and take appropriate action to escalate issues to management when appropriate. • Perform follow-up processes on accounts to work towards a zero balance. • File a timely reconsideration or review of claim with supporting documentation as necessary.

Job Requirements

  • High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.
  • 6 months - 2+ year's experience in office, business, operations, customer service or healthcare field.

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

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