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Patient Account Representative - Medical Billing and Medical Insurance Claims

Guidehouse

BIRMINGHAM, ALJobSeen 3w ago

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At a glance

Compensation
No compensation found
Location
BIRMINGHAM, AL
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Security clearance

Job overview

The Patient Account Representative reviews patient accounts, researches denied insurance claims, follows up on billing issues, and handles correspondence with patients and insurers. The role also assists with billing tasks, completes assigned projects promptly, and may work on credit balance accounts and overpayments while evaluating complex situations.

Skills & qualifications

RequiredNice to have

Skills

Healthcare BillingPayor-Specific BillingCredit Balance Account ProcessingSpecialized Insurance Company ExperienceComplex Situation EvaluationUB04 Claim FormCMS 1500 Claim FormCPT Coding KnowledgeICD-10 Coding Knowledge

Qualifications

High School Diploma or Equivalent0-2 Years of Prior Relevant Experience1-3 Years of Prior Relevant Experience

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Parental Leave
401(k) Match
Tuition Assistance

Full job description

Job Family :

Patient Account Representative

Travel Required :

None

Clearance Required :

None

Location: UAB Avondale Business Center

Schedule: Mon-Fri, Days

What You Will Do :

Patient Account Rep

Under supervision and within established protocols and procedures, the Patient Account Representative will review patient accounts, research denied healthcare insurance claims and complete necessary follow-up processes. Additionally, the account representative will assist with billing and complete all business-related requests and correspondence from patients and/or insurance companies. Complete all assigned projects in a timely manner.

What You Will Need :

Patient Account Rep

  • High school diploma or equivalent

  • 0-2 years of prior relevant experience and general knowledge of payer-specific or medical billing

Patient Account Rep II

  • High school diploma or equivalent

  • 1-3 years of prior relevant experience and general knowledge of payer-specific or medical billing

What Would Be Nice to Have :

  • Healthcare billing experience.

  • Related experience and general knowledge of payor-specific or medical specialty billing.

  • Previous experience in working credit balance accounts and processing patient and insurance overpayments .

  • Experience working with specialized insurance companies.

  • Ability to evaluate complex situations; identify root cause and propose solutions.

  • Experience working with UB04 and CMS 1500 claim forms, appeal and denials.

  • Knowledge of CPT and ICD-10 coding

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 Opportunity Employer–Protected Veterans, Individuals with Disabilities 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 1-571-633-1711 or via email at [email protected] . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected] . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected] . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

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.

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