Patient Billing & Accounts Specialist

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

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