Patient Account Representative- Medical Insurance Claims Follow Up/Hospital Billing

Patient Account Representative

Job Family: Patient Account Representative

Travel Required: None

Clearance Required: None

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

What You Will Do: The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for non-government accounts. This position works with other departments to facilitate the meeting of both departmental/facility goals and objectives. This position is responsible for verifying payments received are correct per our contract, for ensuring patient satisfaction, and demonstrating the ability to find solutions to problems. The Patient Account Representative also collaborates with Management regarding payment patterns and/or other issues with specific payers to ensure efficient process execution.

The Patient Account Representative possesses a strong knowledge of billing, managed care, and timely filing guidelines. Additionally, executors of this role demonstrate an ability to effectively review remittance advices and electronic billing reports from payer to determine appropriate actions. This position performs all related job duties as assigned.

Location: UAB Medicine Avondale Business Office

Work site: Onsite - possibly hybrid after 6 months

Position type: Full Time-Various shifts (Day, Evening, Nights)

What You Will Need:

• High School diploma or equivalent.
• 0-2 years of experience in hospital billing and/or claims follow-up

What Would Be Nice to Have:

• CPAR (Certified Patient Account Rep)
• Knowledge and understanding of diagnosis, HCPCS and CPT codes.
• 1 year experience with claim edits and follow-up related to government/non-government claims accounts.
• Prior experience with Metrix, SSI, and HealthQuest
• Experience with spreadsheets, reporting, payer websites and sFax.
• Excellent communication and interpersonal skills
• Great typing skills along with MS Excel and Word experience

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 EmployerProtected 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.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. 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.

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.