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Patient Account Representative - Medical Billing and Medical Insurance Claims

Guidehouse

Birmingham, AL · Finance

The Patient Account Representative reviews patient accounts, researches denied healthcare insurance claims, and completes necessary follow-up processes. They assist with medical billing and handle business-related requests and correspondence from patients and insurance carriers. The role requires a high school diploma and knowledge of payer-specific or medical billing.

Job description

Job Family : Patient Account Representative Travel Required : None Clearance Required : None Location: UAB Avondale Business Center Schedule: Mon-Fri, Days What You Will Do : Patient Account Rep Under supervision and within established protocols and procedures, the Patient Account Representative will review patient accounts, research denied healthcare insurance claims and complete necessary follow-up processes. Additionally, the account representative will assist with billing and complete all business-related requests and correspondence from patients and/or insurance companies. Complete all assigned projects in a timely manner.

What You Will Need : Patient Account Rep High school diploma or equivalent 0-2 years of prior relevant experience and general knowledge of payer-specific or medical billing Patient Account Rep II High school diploma or equivalent 1-3 years of prior relevant experience and general knowledge of payer-specific or medical billing What Would Be Nice to Have : Healthcare billing experience. Related experience and general knowledge of payor-specific or medical specialty billing. Previous experience in working credit balance accounts and processing patient and insurance overpayments .

Experience working with specialized insurance companies. Ability to evaluate complex situations; identify root cause and propose solutions. Experience working with UB04 and CMS 1500 claim forms, appeal and denials.

Knowledge of CPT and ICD-10 coding 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 RecruitingAccommodation@guidehouse.com .
  • 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 guidehouse@myworkday.com .
  • 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 recruiting@guidehouse.com .
  • 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.

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