Patient Account Rep - Insurance Billing and Follow Up, Full Time, Days

Guidehouse
US - Alabama - Birmingham
January 23, 2025

Job Family :
Patient Account Representative
Travel Required :
None
Clearance Required :

Guidehouse is hiring! We have several Patient Account Rep and Senior Patient Account Rep positions available. Apply now!

Location: UAB - Central Business Office, this position is 100% Onsite
Schedule: Monday - Friday, 8:00am-4:30pm

What You Will Do :
The Patient Account Representative reviews accounts from the Metrix work queue by contacting the insurance company for resolution and payment, as well as ensure all claim edits in the Waystar billing system and SSI billing system are resolved and billed in 24 hours or less.

The Senior Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds and scanning as required. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers. The Senior Patient Account Representative has an extensive knowledge of billing, managed care, timely filing guidelines, and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.

What You Will Need :
For Patient Account Rep:
High School diploma or GED

0-2 years of prior relevant experience

For Sr. Patient Account Rep:
High School diploma.

1-3 years billing or follow-up experience in healthcare field.

What Would Be Nice to Have :
CPAR certification preferred.

Excellent communication and interpersonal skills

Experience with Microsoft Excel and Word.

Prior experience with Metrix, SSI, HealthQuest, and Waystar

Experience with reporting, payer contracts, payer websites, and sFax

Experience with various on-government insurances.

Experience with claim edits.

Denials and insurance follow up.

Knowledge and understanding of diagnosis, HCPCS and CPT codes.
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What We Offer :
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.

Benefits include:
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

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-*** or via email at *** . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Read the full job description and apply online on the recuiter's web-site

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