Patient Account Representative - Remote
Tenet Healthcare
Central Denials Account Representative – Hospital
Guidehouse
full-time
Posted on:
Location Type: Office
Location: Birmingham • Alabama • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
Tech Stack
Switching
About the role
- Conduct thorough account reviews to determine appropriate action needed to resolve account balances.
- Review and perform work on 227 and 835 electronic files, UB04s and 1500 claim files, and medical records.
- Make outbound calls to insurance companies to resolve claim denials and account balances.
- Perform non-clinical appeals and resubmit corrected claims with supporting documentation.
- Assist supervisor/manager with various projects and escalate payer issues/trends as needed.
- Communicate with other organizational departments to ensure proper handling of patient accounts and report areas of concern to management.
- Perform a variety of duties, switching tasks without loss of efficiency; initiate projects and work independently.
Requirements
- HS Diploma or equivalent.
- 0-2 years medical billing experience working with UB04, appeals & denials.
- Experience reviewing 227 Electronic Files, 835 Electronic Files, UB04s and 1500 claim files.
- Experience making outbound calls to insurance companies to resolve claim denials and account balances.
- Experience performing non-clinical appeals.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
- Good written and verbal communications skills.
- Ability to interpret and apply reimbursement aspects of managed healthcare contracts (nice to have).
- Exceptional customer service skills including effective and efficient problem solving and analyzing skills (nice to have).
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
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingUB04appealsdenials227 Electronic Files835 Electronic Files1500 claim filesclaim resolutionaccount balance managementnon-clinical appeals
Soft skills
communication skillsproblem solvinganalytical skillscustomer serviceindependenceproject initiationefficiencyadaptabilityescalation of issuescollaboration
Certifications
HS Diploma
