Patient Account Rep | Special Billing

US104 Guidehouse Managed Services LLC; Birmingham (AL); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement

Employee Referral Program

Paid Holidays

Learning Opportunities

Job summary

Guidehouse in Birmingham, AL is seeking a Patient Account Representative to support healthcare billing operations. You will handle calls with insurance companies, review accounts, and work to resolve balances in a timely manner.

Required is 1–3 years of healthcare billing experience or a High School Diploma with equivalent work history; familiarity with ICD-10-CM and MS Office is a plus. This role is on-site with comprehensive benefits.

Qualifications

• High School Diploma or GED, or 3+ years of relevant experience.
• 1-3 years of healthcare billing experience.

Responsibilities

• Perform inbound and outbound calls to insurance companies to resolve account balances.
• Review denials and credits.
• Complete billing and correspondence with patients and insurers.
• Resolve balances to zero before forwarding to collections.

Skills

Healthcare billing experience

Communication skills

Attention to detail

Education

High School Diploma or GED

3+ years experience in lieu of education

Tools

Microsoft Office Suite

Insurance/Payment systems

Job description

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

What You Will Do:

The Patient Account Representative is an extension of a client's business office staff. Representatives are responsible for taking incoming and making outgoing calls to insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned including: Account Review Denials Billing Credits Complete all business-related and correspondence from patients and insurance companies. Complete all assigned projects in a timely manner. Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

What You Will Need:

• High School Diploma or GED or 3+ years of relevant experience in lieu of the education
• 1-3 years of prior relevant experience in healthcare billing

What Would Be Nice To Have:

• 2-year medical billing experience.
• Experience working with specialized insurance companies, such as but not limited to Transplant Contracts, Worker's Compensation and Dental carriers.
• Working knowledge of Microsoft applications.
• Some knowledge and understanding of ICD-10-CM, ICD-10-PCS, CPT and HCPCS.
• Ability to maintain accuracy and attention to detail.
• Ability to evaluate complex situations, identify root causes and propose effective solutions.

What We Offer:

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. Benefits include:

• 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. 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 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. 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. Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future. guidehouse.com