Account Manager – Military Division
Qorvo, Inc.
Patient Account Representative – Physician Claims
Guidehouse
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $38,000 - $64,000 per year
Job Level
Junior
About the role
- 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.
Requirements
- High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED.
- 1-3+ year's experience working in an office, business, operations, customer service or healthcare field.
- Previous experience working with insurance portals
- PC skills in a Windows environment.
- Knowledge and utilization of desktop applications to include Word and Excel.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
account resolutionclaims billingdenial managementappeals submissiondata entrycustomer serviceproject managementinsurance knowledgeHIPAA compliancedemographic updates
Soft skills
communicationattention to detailindependenceproblem-solvingprofessionalismtime managementorganizational skillsadaptabilityteam collaborationcustomer relations
Certifications
High School DiplomaGED
