Guidehouse
Healthcare
PatientAccountRepresentative-Medicare,Medicaid,CommercialClaims
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Account Representative - Medicare, Medicaid, Commercial Claims at Guidehouse. Skills: Account Resolution, Insurance Claims, Patient Accounts. Resolve account balances. Complete business-related requests”
What You'll Achieve.
Resolve account balances to zero
Industry & Context.
Root cause analysis
None
What They're Looking For.
Must Have
High School Diploma / GED, 3 years Relevant Equivalent Experience, 0-2+ year's experience in office, business, operations, customer service or healthcare field
Nice to Have
Previous experience working in insurance portals, PC skills in a Windows environment, Knowledge and utilization of desktop applications, Ability to initiate and follow through on projects, Work independently with minimal supervision
What You'll Do.
Resolve account balances
Complete business-related requests
Complete assigned projects
Assist client and patients
Communicate areas of concern
Communicate areas of improvement
Research patient inquiries
Respond to patient inquiries
Update patient demographic information
Initiate account adjustments
Resolve account balances to zero
Full Job Description
**_Job Family_ :** Patient Account Representative ** _Travel Required_ :** None ** _Clearance Required_ :** None ** _What You Will Do_ :** The**Insurance Patient Account Representative** 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 will be on a hybrid schedule working two days in the Lewisville, TX office and three days from home.**_ **_Essential Job Functions_** * Account Review * Appeals & Denials * Medicare/Medicaid * Insurance Follow-up * Customer Service * Billing * UB-04 & CMS 1500 * 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+ year's experience in office, business, operations, customer service or healthcare field. **_What Would Be Nice To Have_ :** * Previous experience working in insurance portals * PC skills in a Windows environment. * 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-DNI ** _What We Offer_ :** Guidehouse offers a c
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