Patient Account Representative - Hospital A/R - Commercial & Government

Patient Account Representative

The Insurance Patient Account Representative - Hospital A/R Emphasis 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 is classified under a hybrid schedule. Working two days either in the San Marcos, CA or El Segundo, CA offices and three days from home.

Essential Job Functions:

• Hospital Claims
• Account Review
• Appeals & Denials
• Medicare/Medicaid
• Insurance Follow-up
• Customer Service
• Billing
• UB-04

Duties & Responsibilities:

• Complete all business-related requests and correspondence from patients and insurance companies.
• Responsible for working on 40 +/- accounts per day
• Complete 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
• 0-2+ years relevant experience within healthcare, insurance, business and/or revenue cycle operations.

What Would Be Nice To Have:

• 1+ year's medical provider experience working with UB04, appeals & denials.
• Hospital or EOB claims emphasis
• PC skills in a Windows environment are required. 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 supervision required.

The annual salary range for this position is $38,000.00-$63,000.00. 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.

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

Guidehouse is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.