Claims (Billing) Specialist / Patient Account Representative - Healthcare

Patient Account Representative

The Claims (Billing) Specialist / Insurance Patient Account Representative is an extension of a client's business office staff. Representatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. This position will be on a hybrid schedule working two days either in the Lewisville, TX office or El Segundo, CA office and three days from home.

RESPONSIBILITIES AND DUTIES

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
• Submit invoices to appropriate parties
• Applies payments
• Collects on unpaid claims
• Prepares advance reconciliations and applies payments to the general ledger
• Enters information into computer databases for effective record keeping
• Collaborates with other staff members to optimize delivery of services
• Ensures all compliance standards are met for audit purposes
• Maintains confidentiality of records relating to clients
• Identifies opportunities to improve our processes
• Other duties as assigned

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
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
• Able to work with numbers and apply basic math skills to daily tasks

The annual salary range for this position is $34,000.00-$56,000.00. 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 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