Patient Account Representative- Support Team- Physician Billing- Onsite

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

Job summary

Guidehouse is seeking a Patient Account Representative (PAR) to perform billing processes, follow-up, and account resolution. The role collaborates with other departments to meet facility goals and maintains knowledge of billing guidelines and remittance reviews.

The position is onsite in Birmingham, AL and requires strong attention to detail and problem-solving to ensure timely payments. Responsibilities include contacting payers, documenting communications, and handling denials and adjustments

Qualifications

• High School Diploma or GED required.
• 0–2 years of healthcare experience.
• Experience with payer websites or remittance reports is a plus.

Responsibilities

• Merges/unmerges duplicate medical records.
• 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; detail notes in the client’s system.
• Submits appeals for non-clinical denials.
• Monitors denials for trends and reports findings to supervisor.
• Bills or re-bills claims as necessary.
• Ensures the client follows all state and federal rules and regulations including HIPAA.
• Completes assigned special projects within time frames.
• Documents each account worked in the client practice management system.
• Makes corrections in the practice management system as needed.
• Resolves or forwards address/plan changes to ensure integrity of the insurance master.
• Updates patient accounts with corrected demographic or insurance information.
• Posts adjustments per SOPs or as directed by leadership.
• Handles all customer calls professionally.
• Ability to work independently with minimal supervision.

Skills

Billing processes

Accounts receivable

Payer follow-up

Record keeping

Education

High School Diploma/GED

Tools

Windows

Microsoft Word

Microsoft Excel

Practice management system

Job description

++Job Family++:
Patient Account Representative

++Travel Required++:
None

++Clearance Required++:
None

++What 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 essential.

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.

The position is onsite in Birmingham AL

++Duties and Responsibilities++

• Merging/Unmerging Duplicate Medical Records.
• 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 or receipt. Detail notes regarding correspondence must be entered into the client’s system. Works all denials taking necessary actions to obtain account resolution.
• Submits appeals, as appropriate, for all non-clinical denials
• Monitors all denials for trends and issues and reports findings to supervisor.
• Bills or re-bills claims as necessary.
• Ensures the client follows all state and federal rules and regulations both billing and HIPAA.
• Completes assigned special projects within the time frames given
• Attend training sessions and seminars offered by the Client and Third-Party Payers.
• Appropriately documents each account worked in client practice management system.
• Makes 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 maintained.
• Updates patient accounts with corrected demographic or insurance information.
• Posts adjustments based on standard operating procedures or as directed by leadership.
• Handles all customer calls both internal and external in a professional and courteous manner.
• Ability to initiate and follow through on projects and work independently with minimal supervision.

++What You Will Need++:

• High School Diploma/GED
• 0-2 years of Healthcare experience

++What Would Be Nice To Have++:

• 1 plus year Revenue Cycle experience.
• 1-year experience in office, customer service or healthcare field preferred.
• PC skills in a Windows environment.
• Knowledge and utilization of desktop applications to include Word and Excel is essential.

++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 . 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 . 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 . 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.