Claims (Billing) Specialist / Patient Account Representative - Healthcare

Guidehouse; Lewisville (TX); Hybrid; USD 38.000 - 64.000; Vollzeit

Benefits dieser Stelle

Medical, Rx, Dental & Vision Insurance

Personal and Family Sick Time &Company

Discretionary bonus potential

401(k) Retirement Plan

Life Insurance

Health Savings Account

Tuition Reimbursement & Learning

Employee Referral Program

Paid Holidays

Discrete other benefits

Zusammenfassung

Guidehouse is seeking a Claims (Billing) Specialist / Insurance Patient Account Representative in a hybrid role, working two days in-office and three from home for Lewisville, TX or El Segundo, CA. You will manage billing data, submit invoices, apply payments, and pursue unpaid claims while ensuring audit-ready records and confidentiality.

Requirements include a HS diploma or equivalent and 1–3+ years in office or healthcare settings; insurance portal experience is a plus.

Qualifikationen

• High School Diploma / GED or equivalent experience required.
• 1–3+ years experience in office, business, operations, customer service or healthcare.
• Previous experience working in insurance portals is a plus.

Aufgaben

• Prepare billing data for payer invoicing and submission.
• Submit invoices and apply payments to the ledger.
• Collect on unpaid claims and keep records up to date.
• Enter information into computer databases and generate reports.
• Ensure compliance standards for audits and maintain confidentiality.
• Collaborate with staff to optimize service delivery.

Kenntnisse

Windows PC

Numerical skills

Customer service

Office operations

Ausbildung

High School Diploma / GED or Equivalent

Tools

Microsoft Word

Microsoft Excel

Jobbeschreibung

Job Family: Patient Account Representative Travel Required: None Clearance Required: None

What You Will Do:

The Claims (Billing) Specialist / Insurance Patient Account Representative is an extension of a client’s business office staff. Representatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. Candidates living in the Lewisville, TX or El Segundo, CA regions would be on a hybrid schedule working two days in the office and three days from home.

RESPONSIBILITIES AND DUTIES

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
• Submit invoices to appropriate parties
• Applies payments
• Collects on unpaid claims
• Prepares advance reconciliations and applies payments to the general ledger
• Enters information into computer databases for effective record keeping
• Collaborates with other staff members to optimize delivery of services
• Ensures all compliance standards are met for audit purposes
• Maintains confidentiality of records relating to clients
• Identifies opportunities to improve our processes
• Other duties as assigned

What You Will Need:

• 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.

What Would Be Nice To Have:

• Previous experience working in insurance portals
• PC skills in a Windows environment.
• 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
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
• Able to work with numbers and apply basic math skills to daily tasks

The annual salary range for this position is $38,000.00-$64,000.00. 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:

• 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.

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guidehouse.com