Claims Specialist
Point32Health
Patient Account Representative – Medical Insurance Claims, Hospital Billing
Guidehouse
full-time
Posted on:
Location Type: Hybrid
Location: Birmingham • Alabama • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Perform billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning for non-government accounts
- Verify payments received are correct per contract
- Ensure patient satisfaction and find solutions to problems
- Collaborate with other departments to meet departmental and facility goals and objectives
- Collaborate with Management regarding payment patterns and issues with specific payers to ensure efficient process execution
- Review remittance advices and electronic billing reports from payers to determine appropriate actions
- Apply strong knowledge of billing, managed care, and timely filing guidelines
- Perform all related job duties as assigned
Requirements
- High School diploma or equivalent
- 0-2 years of experience in hospital billing and/or claims follow-up
- CPAR (Certified Patient Account Rep) (nice to have)
- Knowledge and understanding of diagnosis, HCPCS and CPT codes (nice to have)
- 1 year experience with claim edits and follow-up related to government/non-government claims accounts (nice to have)
- Prior experience with Metrix, SSI, and HealthQuest (nice to have)
- Experience with spreadsheets, reporting, payer websites and sFax
- Excellent communication and interpersonal skills
- Great typing skills along with MS Excel and Word experience
Benefits
- 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.
- 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
billingaccount resolutionadjustment postingadjustment refundsclaims follow-upclaim editsdiagnosis codesHCPCS codesCPT codestimely filing guidelines
Soft skills
patient satisfactionproblem-solvingcollaborationcommunicationinterpersonal skillsorganizational skillsattention to detailtyping skills
Certifications
High School diplomaCertified Patient Account Rep (CPAR)
