Patient Account Representative - Hospital Claims A/R - Commercial & Government

Guidehouse; Lewisville (TX); Hybrid; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Account Representative to join their team. This role involves managing hospital claims, resolving account balances, and providing exceptional customer service. You'll work in a hybrid environment, balancing time between the office and home, while engaging with patients and insurance companies. The ideal candidate will possess strong communication skills and a background in healthcare or revenue cycle operations. This is a fantastic opportunity to grow within a supportive workplace that values diversity and offers a comprehensive benefits package.

Benefits

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement

Short-Term & Long-Term Disability

Employee Referral Program

Corporate Sponsored Events

Emergency Back-Up Childcare Program

Qualifications

• Experience in healthcare and revenue cycle operations is preferred.
• Ability to work independently with minimal supervision.

Responsibilities

• Handle 40-70 accounts per day, resolving patient inquiries.
• Update patient information and manage account adjustments.

Skills

Customer Service

Insurance Follow-up

Account Review

Billing

Education

High School Diploma/GED

3 years of relevant equivalent experience

Tools

Microsoft Word

Microsoft Excel

Job description

Join to apply for the Patient Account Representative - Hospital Claims A/R - Commercial & Government role at Guidehouse

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Join to apply for the Patient Account Representative - Hospital Claims A/R - Commercial & Government role at Guidehouse

What You Will Do

The

Job Family

Patient Account Representative

Travel Required

None

Clearance Required

None

What You Will Do

The Insurance Patient Account Representative - Hospital A/R Emphasis is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned.

This position offers an attractive hybrid schedule working two days from our Lewisville, TX or San Antonio office and three days from home.

Essential Job Functions

• Hospital Claims
• Account Review
• Appeals & Denials
• Medicare/Medicaid
• Insurance Follow-up
• Customer Service
• Billing
• UB-04 & CMS 1500
  
  

Duties & Responsibilities

• Complete all business-related requests and correspondence from patients and insurance companies.
• Responsible for working on 40-70 Accounts Per Day
• Complete all assigned projects in a timely manner.
• Assist client and patients in all requested tasks.
• Communicate to Guidehouse management areas of concern or areas of improvement.
• Research and respond to all patient inquiries received by telephone and mail.
• Update patient demographic information and initiate account adjustments.
• 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/GED or 3 years of relevant equivalent experience in lieu of diploma/GED
• 0-2+ years relevant experience within healthcare, insurance, business and/or revenue cycle operations.
  
  

What Would Be Nice To Have

• 1+ year’s medical provider experience working with UB04, appeals & denials.
• Hospital or EOB claims emphasis
• PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel.
• Ability to initiate and follow through on projects and work independently with minimal supervision.
  
  

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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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Business Consulting and Services

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