Guidehouse

Patient Account Representative – Medical Insurance Claims, Hospital Billing

Guidehouse

full-time

Posted on:

Location Type: Hybrid

Location: Birmingham • Alabama • 🇺🇸 United States

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Job 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

Applicant Tracking System 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)