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Patient Account Representative - Commercial Claims

$38k - $64k

Guidehouse

Patient Account RepresentativeThe Insurance Patient Account Representative is an extension of a client's business office staff. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned.This position will be on a hybrid schedule working two days from either the San Antonio, TX, Lewisville, TX or El Segundo, CA offices and three days from home.Essential Job FunctionsAccount ReviewAppeals & DenialsCommercial ClaimsInsurance Follow-upCustomer ServiceBillingUB-04 & CMS 1500Complete all business-related requests and correspondence from patients and insurance companies.Responsible for working on 40-70 Accounts Per DayComplete all assigned projects in a timely manner.Assist client and patients in all requested tasks.Communicate to Guidehouse management areas of concern or areas of improvement.Research and respond to all patient inquiries received by telephone and mail.Update patient demographic information and initiate account adjustments.Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.What You Will Need :High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.1-3+ year's experience in office, business, operations, customer service or healthcare field.What Would Be Nice To Have :Previous experience working in insurance portalsPC skills in a Windows environment.Knowledge and utilization of desktop applications to include Word and Excel is essential.Ability to initiate and follow through on projects and work independently with minimal supervisionThe annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramGuidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Vacancy posted 1 day ago
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