Patient Account Representative - A/R Follow-up - Medicare, Medicaid, Commercial Claims
Dormont Manufacturing Co
Job Family: Patient Account Representative Travel Required: None Clearance Required: None What You Will Do: The Insurance Patient Account Representative is an extension of a client’s business office staff. Representatives are responsible for taking incoming and making outgoing 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 in the Lewisville, TX office and three days from home. Essential Job Functions Account Review Appeals & Denials Medicare/Medicaid Insurance Follow-up Customer Service Billing
UB-04 & CMS 1500
Complete all business‑related requests and correspondence from patients and insurance companies. Responsible for working on 40-70 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+ year’s experience in office, business, operations, customer service or healthcare field. What Would Be Nice To Have: Previous experience working in insurance portals PC 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 supervision. 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. Guidehouse is an Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, national origin, age, disability or any other protected class. #J-18808-Ljbffr Dormont Manufacturing Co- ...Patient Account Representative The Insurance Patient Account Representative is an extension of a... ...client policies and procedures are followed. Representatives will perform any and... ...Account Review Appeals & Denials Medicare/Medicaid Insurance Follow-up Customer...CommercialClaimsTemporary workWork at officeFlexible hours
- ...Patient Account Representative The Insurance Patient Account Representative (Hospital Claims) is an extension of a client's business office... ...policies and procedures are followed. Representatives will... ...Appeals & Denials Medicare/Medicaid Insurance Follow-up...ClaimsTemporary workWork at officeFlexible hours
- ...aspects of insurance claims processing, patient billing, patient relations and accounts receivable in order to... ...adjustments. Work A/R for specific networks. This involves timely follow-up of claims with calls... ...meet with Provider Representative and/or IPA as...ClaimsWork at office
- ...Patient Account Representative The Patient Account Representative (PAR) is expected to perform specific billing processes, follow-up, account resolution, adjustments and scanning as required. This... ...supervisor Bills or re-bills claims as necessary Ensures the...ClaimsTemporary workWork at officeFlexible hours
$38k - $64k
...and collect managed care, Medicare/Medicaid underpayments for... ...any activity that affects account. Reconcile accounts based... ...confidentiality of company, client and patient information. Client... ...with Medicare/Medicaid claims as well as Commercial Payors Experience in...CommercialClaimsContract workTemporary workWork at officeFlexible hours$38k - $64k
...Patient Account Representative The Claims (Billing) Specialist / Insurance Patient Account Representative is an extension of a client's business office... ...and Excel is essential. Ability to initiate and follow through on projects and work independently with minimal...ClaimsTemporary workWork at officeFlexible hours- ...payments, electronic submitting claims appealing / correcting... ..., and / or work with the patient to provide details... ...to have knowledge of most commercial insurances, Medicaid and Medicare Advantage plans, calling... ...properly and without errors Follow up with patients and...CommercialClaims
$20 - $22 per hour
...Account Receivable Representative Job Category: IKS Requisition Number: ACCOU001840... ...and guidelines, including Medicare, Medicaid, and Workers-Comp Review, analyze claims in billing system and take... ...appeal claims Perform timely follow-up with payer and ensure...ClaimsFull timeWork experience placementFlexible hours- ...Overview A Healthcare Claims Denial Management... ...timeframes. Follow up with insurance... ...directly with insurance representatives to verify claim... ...rate, and days in accounts receivable (A/R). Required Skills... ...Insurance payer rules (commercial, Medicare, Medicaid) Medical...CommercialClaims
- ...k) options, and much more! Primary Function This position will be responsible for real-time follow-up on all denials, review of open/un-paid Medicaid/Commercial claims, filing appeals and reconsiderations, and requesting additional information for assigned client offices...CommercialClaimsTemporary work
- ...billing processes and claims submissions.... ...reporting expiration of patient authorizations, recording... ...managing assigned accounts. Responsibilities Medical AR follow-up procedures to... ...knowledge of Texas Medicaid, Medi‑Cal, managed care and commercial plans Experience in...CommercialClaimsFull timeWork at officeLocal area
- ...At KabaFusion, our patients come from all walks of... ...integrity, supports clean claims, and ensures... ...Financial Obligation, and Medicare/Medicaid forms and coordinates... ...health information by following regulations for HIPAA... ..., Medicaid, and commercial plans, with familiarity...CommercialClaimsTemporary work
- ...enrollments and reenrollment for commercial and Medicaid payers. The specialist... ...managers, and insurance representatives to submit required documentation... ...maintain uninterrupted claims payment and compliance with... ...track application status and follow up with payers on pending...CommercialClaimsContract workTemporary workWork at office
$18 - $22 per hour
...Inpatient Medicare & Medicaid Biller - Full Time Remote Job Category:... ...Advantage (Medicare HMOs) patient accounts. The position requires a strong... ...Generate and submit claims, both electronic and paper... ...established policy and standards. Follow up on unprocessed claims...ClaimsRemote jobHourly payFull timeWork experience placementInterim roleLocal area$20 - $22 per hour
...experienced individual for a billing and claims analysis role. You will be responsible for... ...should have 3-4 years of experience in the Accounts Receivable field, strong communication skills, and knowledge of Medicare and Medicaid claims. The position offers a base pay range...Claims- ...adjudication of all third-party claims submitted to... ...aging in third-party accounts receivable (A/R). The ideal candidate... ...focus on timely A/R follow-up and resolution of outstanding patient account balances.... ...effectively interact with Commercial, Medicaid, and Managed Care...CommercialClaimsHourly payWork at officeRelocation
- ...Position Summary The Claims Advocate serves as a trusted... ...and advocacy for Commercial Lines and Personal Lines accounts. This role assists clients... ...Monitor claim progress and follow up with carriers to... ...relationships with carrier claim representatives and adjusters....CommercialClaimsWork experience placementWork at officeRemote work
$18 - $21 per hour
...Description Job Description The Commercial Accounts Receivable Representative is responsible for preparing and submitting claims for accounts to ensure... ...guidelines. Verify patient’s insurance eligibility.... ...Research accounts and document follow up appropriately....CommercialClaimsHourly payFull timeRemote work- ...Customer Service Representative Supporting Commercial And Public Sector Clients... ...as applicable Follow the processes of the... ...technology to complete account management tasks... ...and process customer claims in appropriate systems... ..., responsive, patient, and conscientious)...CommercialClaimsFull timeWork experience placementWork at officeWork from homeShift work
- ...medical home for our patient's comprehensive... ...efficient and effective account receivable services... ...Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing claims in accordance with payer... ...candidates will bring the following knowledge, skills,...CommercialClaimsTemporary workLocal areaRemote workFlexible hours
- ...Appeals & Revenue Specialist Responsible for managing denied claims and payer audits, preparing and submitting appeal letters... ...teams to improve outcomes, and ensuring compliance with Medicare, Medicaid, and commercial payer requirements. This position serves as the primary...CommercialClaimsWork at officeLocal area
- ...government agencies, mints, jewelers, and other commercial operations. Our network of operations in... ...for managing workers' compensation claims across assigned U.S. states and Canada... ...network, like our Facebook page or Follow us on X. Brink's is an equal opportunity...CommercialClaimsLocal area
- ...ROLE DESCRIPTION As Account Associate for Berenice Mendez, you are vital to our daily business operations and customers’ success.... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...Claims
- Guidehouse is seeking a Patient Account Representative in Lewisville, Texas, to handle interactions with patients and insurance companies regarding account balances. This hybrid position involves working three days from home and two days in the office. Successful candidates...Work at officeWork from home
- ...Account Associate - State Farm Agent Team Member Benefits: ~ Health stipend ~ License reimbursement ~401(k) ~ Bonus... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsLocal area
- ...Patcraft Account Executive- Dallas, TX Driven by imagination,... ...leading soft and hard surface commercial brand, we hold ourselves to the... ...oversight, punch walk/ claim coordination (if necessary),... ...tool such as Salesforce.com. Follow up on a variety of leads from...CommercialClaimsFor contractorsFlexible hoursRotating shiftDay shift
- ...Customer Service Representative Customer Service... ...supporting commercial and public sector... ...as applicable Follow the processes of... ...technology to complete account management tasks... ...process customer claims in appropriate systems... ..., responsive, patient, and...CommercialClaimsFull timeTemporary workWork experience placementCasual workWork at officeLocal areaWork from homeShift work
- ...Whether you're managing claims, supporting clients,... ...candidates should have the following: Claims... ..., and resolve complex Commercial GL claims, applying your... ...The base salary range represents the anticipated low end... ...~ Tax-advantaged accounts (HSA, FSA) ~ Educational...CommercialClaimsFull timeLive outWork at officeLocal areaRemote workFlexible hours
$24 - $27 per hour
..., mints, jewelers, and other commercial operations. Our network of operations... .... Job Description The Account Services Lead is responsible... ...management ~ Assist with Claims escalations for assigned... ..., like our Facebook page or Follow us on X. Brink's is an...CommercialClaimsWork at officeLocal area- ...local customer base by promoting strong commercial ownership, delivering exceptional service... ...ownership model in the CCL team following the CCL Roles & Responsibilities Guidelines... ...Management: Manage all customer complaints and claims with empathy through to resolution...CommercialClaimsFull timeLocal area
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