Patient Account Representative - Physician Claims

Guidehouse Managed Services LLC; Lewisville (TX); Hybrid; USD 38,000 - 54,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement

Personal and Family Sick Time

Job summary

Guidehouse Managed Services LLC is seeking a Patient Account Representative to perform billing follow-up, account resolution, and related tasks in a hybrid role, split between Lewisville, TX office and remote work. You will interact with payers, review remittance advice, file appeals for denials, and ensure HIPAA compliance while maintaining accuracy in the client system.

The role requires a High School Diploma or equivalent, 0-2+ years in office or healthcare settings, and proficiency with

Qualifications

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED.
• 0-2+ years' experience in office, business, operations, customer service or healthcare field.
• PC skills in a Windows environment are required.
• Knowledge and utilization of desktop applications to include Word and Excel is essential.

Responsibilities

• Contacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts.
• Work all correspondence within 24 hours of receipt and document notes in the client system.
• Handle denials and submit appeals for non-clinical denials as appropriate.
• Monitor denials for trends and report findings to supervisor.
• Post adjustments and update patient accounts with corrected demographic or insurance information.

Skills

Attention to detail

Customer service

Communication skills

Problem solving

Education

High School Diploma / GED

Tools

Windows PC

Microsoft Word

Microsoft Excel

Job description

Job Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneWhat You Will Do:The Patient Account Representative (PAR) is expected to perform specific billing processes, follow-up, account resolution, adjustments and scanning as required. This position works with other departments to facilitate the meeting of both departmental facility goals and objectives. This position is responsible for account resolution. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers is essentialThis position will be on a hybrid schedule working two days in the Lewisville, TX office and three days from home.The Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.Duties and ResponsibilitiesContacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts.Work all correspondence within 24 hours or receipt. Detail notes regarding correspondence must be entered into the client’s systemWorks all denials taking necessary actions to obtain account resolutionSubmits appeals, as appropriate, for all non-clinical denialsMonitors all denials for trends and issues and reports findings to supervisorBills or re-bills claims as necessaryEnsures the client follows all state and federal rules and regulations both billing and HIPAACompletes assigned special projects within the time frames givenAttend training sessions and seminars offered by the Client and Third-Party Payers.Appropriately documents each account worked in client practice management systemMakes necessary corrections in client practice management system.Resolves or forwards all address and / or plan changes as appropriate to ensure the integrity of the insurance master is maintainedUpdates patient accounts with corrected demographic or insurance informationPosts adjustments based on standard operating procedures or as directed by leadershipHandles all customer calls both internal and external in a professional and courteous manner.What You Will Need:High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED.0-2+ year's experience in office, business, operations, customer service or healthcare field.What Would Be Nice To Have:Previous experience working with insurance portalsPC skills in a Windows environment are required.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#IndeedSponsored#LI-DNIWhat 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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse 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.