Patient Account Representative - Medicare, Medicaid, Commercial Claims
$34k - $56kDovel Technologies, Inc
**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 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 either in the Lewisville, TX office or El Segundo, CA 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#IndeedSponsored#LI-DNIThe 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.**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.If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at View phone number on click.appcast.io or via email at View email address on click.appcast.io. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or View email address on click.appcast.io. 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. If you want to check the validity of correspondence you have received, please contact View email address on click.appcast.io. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.*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.* #J-18808-Ljbffr Dovel Technologies, Inc
$38k - $64k
...Patient Account Representative The Insurance Patient Account Representative is an extension of a client's business office staff. Representatives... ...Functions Account Review Appeals & Denials Commercial Claims Insurance Follow-up Customer Service Billing...CommercialClaimsTemporary workWork at officeFlexible hours$34k - $56k
...Job Family : Patient Account Representative Travel Required : None Clearance Required : None What You Will Do : The Patient... ...issues and reports findings to supervisor Bills or re-bills claims as necessary Ensures the client follows all state and...ClaimsFull timeTemporary 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 staff. Representatives are responsible for maintaining knowledge, skills, and abilities that contribute to various...ClaimsTemporary workWork at officeFlexible hours- ...manage billing processes and claims submissions.... ...reporting expiration of patient authorizations, recording... ...spreadsheets, and manage assigned accounts. Responsibilities:... ...working knowledge of Texas Medicaid, Medi-Cal, managed care and commercial PlansExperience in...CommercialClaimsWork at officeLocal area
- ...Carrollton, TX, is actively hiring a Medicaid Payer Enrollment Specialist!... ...and reenrollment for commercial and Medicaid payers. The... ...office managers, and insurance representatives to submit required... ...helping maintain uninterrupted claims payment and compliance with...CommercialClaimsContract workTemporary workWork at office
$20 - $22 per hour
...Accounts Receivable Specialist Adhere to Billing Guidelines and Policies Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level...ClaimsFull timeWork experience placementFlexible hours- ...SUMMARY: Encompasses all aspects of insurance claims processing, patient billing, patient relations and accounts receivable in order to maintain standard benchmarks... ...for specific network and meet with Provider Representative and/or IPA as necessary to resolve problems....ClaimsWork at office
- ...delivering exceptional patient care. As the Manager, Accounts Receivable... ...your expertise in Medicare Part B, payer collections... ...payments received from commercial payers, PBMs,... ...Medicare-related payers, Medicaid programs, and other... ...Medicare Part B claims, reimbursement...CommercialClaims
- ...01 Overview A Healthcare Claims Denial Management Specialist... ...directly with insurance representatives to verify claim status,... ...success rate, and days in accounts receivable (A/R).... ...coding Insurance payer rules (commercial, Medicare, Medicaid) Medical terminology Technical...CommercialClaims
- ...designing decorative metal and glass railing systems that redefine commercial spaces with safety, elegance, and distinctive design. Our... ...purchasing documentation - PO backup, quality documentation, warranty claims - is complete and audit ready. Team Direction: Provide...CommercialClaims
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- ...departments to manage patient care efficiently.... ...necessity, including Medicare and FDA guidelines.... ...pharmacy, or medical claims billing and coding,... ...understanding of Medicare, Medicaid, and commercial payer policies.... ...described here are representative of those the employee...CommercialClaims
$89k - $148k
...initiatives through the analysis of complex claims, contracts, fee schedules, and... ...Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible... ...technology, and managed services to the commercial and government sectors. With an integrated...CommercialClaimsContract workTemporary workWork at officeFlexible hours$30 per hour
...Research and resolve unpaid claims, billing discrepancies, denials... ...Contact insurance carriers, patients, and other stakeholders to resolve account issues and maximize payment.... ...Apply advanced knowledge of Medicare, Medicaid, and commercial payer policies to maximize reimbursement...CommercialClaims$59k - $98k
What You Will Do Physician Claims A/R Follow-up Knowledge Assisting team members both onshore... ..., billing, coding, follow-up, finance, accounting, or customer service-related... ...technology, and managed services to the commercial and government sectors. With an integrated...CommercialClaimsTemporary workWork at officeFlexible hours$38k - $64k
...Balance Specialist (Physician Claims) will manage credit balance... ...clear, concise and complete account notes and other relevant information... ...Research and respond to all patient inquiries received by... ...and managed services to the commercial and government sectors. With...CommercialClaimsWork at officeFlexible hours$45 - $65 per hour
...is an HVAC manufacturer's representative and building automation solutions... ...ACS. Coordinate warranty claims with manufacturers and... ...Travel as needed for national account projects and training opportunities... ...and repair methods used in commercial and residential applications...CommercialClaimsFull timeFor contractorsFor subcontractor- ...providing design services, commercial equipment, and foodservice... ...Integrity, Customer Service, Accountability, Respect, and Excellence.... ...records, assisting in freight claims, and supporting the... ...management and Customer Service Representatives (CSR). Assist in handling...CommercialClaimsFull timeLocal area
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- ...customers by providing design services, commercial equipment, and foodservice supplies... .... values: Integrity, Customer Service, Accountability, Respect, and Excellence. For more information... ..., and service agencies on warranty claims and project inquiries. Create, print,...CommercialClaimsFull timeFor contractorsLocal area
- ...support and optimize the Accounts Receivable operations. This... ...functions: follow-up on billed claims, additional documentation... ...)Familiarity with Medicare, Medicaid, and commercial payer billing guidelinesKnowledge... ..., and exceptional patient care. As part of our leadership...CommercialClaimsFull timeWork at office
$150k - $180k
...Dallas Texas. This Trial Attorney will be responsible for representing the commercial insureds of a prestigious and financially stable commercial... ...Auto personal injury cases.At Zurich North America Claims we acknowledge that work life-balance and flexibility are...CommercialClaimsTemporary workWork at officeLocal areaRemote workFlexible hours1 day per week- ...State Farm in Denton, Texas is seeking a Property Field Inspection Claim Specialist to handle on-site inspections and assess damages for residential and commercial claims. You will meet with insureds, explain coverage, gather evidence, and prepare detailed reports to...CommercialClaimsLocal areaRemote work
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$18 - $21 per hour
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$55k - $70k
...the above-mentioned divisions, as well as specializations for commercial large loss, fire damage restoration, asbestos & mold removal, and... ...opportunity to learn and grow. Primary Responsibilities Handle claim putting together job files, assimilate and validate that all...CommercialClaimsWork at officeFlexible hours- ...staffing agency. The actual posting represents a position at one of our... ...of disputed insurance claims, executing strategic solutions... ...carriers, clinical personnel, and patients. Archive precise, audit-... ...with insurance policies on commercial and government payers. ~...CommercialClaimsFull timeTemporary workLocal area
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