Claims (Billing) Specialist / Patient Account Representative - Healthcare

Job Family : Patient Account Representative

Travel Required :

None

Clearance Required :

None

What You Will Do :

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.

Candidates living in the Lewisville, TX or El Segundo, CA regions would be on a hybrid schedule working two days in the 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.
• 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 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

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The 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.

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 aiapply.co or via email at View email address on aiapply.co. 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 aiapply.co. 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 aiapply.co. 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.