Patient Account Representative - Commercial Claims
$38k - $64kGuidehouse
Patient Account Representative 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 from either the San Antonio, TX, Lewisville, TX or El Segundo, CA offices and three days from home. Essential Job Functions Account Review Appeals & Denials Commercial Claims 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. 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 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. 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 Guidehouse is an Equal Opportunity EmployerProtected 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.
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- ...Supervises, assists, and directs the activities of the assigned claims processing unit and the assigned staff. Responds to issues... ...years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years’ experience...CommercialClaims
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$65k - $80k
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$50k - $55k
...Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY... ...position. Familiarity with personal and commercial lines policies and endorsements... ..., flexible spending or health savings account, and other additional voluntary benefits...CommercialClaimsContract workWork at officeLocal areaFlexible hours- ...seeking a skilled Medical Billing Accounts Receivable (A/R) Specialist... ...by managing outstanding claims, resolving denials, working insurance... ...procedures. Communicate with patients regarding claim status and... ...concepts. Familiarity with commercial insurance, Medicare, Medicaid...CommercialClaims
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$50k - $60k
...the litigation lifecycle—from initial case assessment and pre-claim investigation to discovery, trial, and the post‑trial appeal process... ...in litigation (Personal Injury, Insurance Defense, or Commercial Litigation preferred). Technical Skills: Proficiency in Microsoft...CommercialClaimsWork at office$15.38 - $35.58 per hour
...administrative tasks related to account management and policy... ...due to non-payment. Tracks claims and updates the agency management... ...Certified Insurance Service Representative (CISR) Designation preferred... .... ~ Working knowledge of commercial lines of coverage preferred....CommercialClaimsWork at officeLocal area$50k - $150k
...organization's products and services surrounding Commercial Print, Packaging, Labels and Direct... ..., or list of new and existing customer accounts to achieve significant sales targets.... ...and mentor less experienced sales representatives to achieve their sales targets. Recommend...CommercialWork experience placementShift work- ...required. Key Responsibilities: Submit and manage claims for Medicare, Medicaid, managed care, and commercial payers Verify eligibility, review documentation, and ensure billing accuracy and compliance Monitor accounts receivable, follow up on unpaid claims, and resolve...CommercialClaimsWork experience placementImmediate startMonday to FridayShift work
- ...Responsible for development and maintenance of claims auditing program for all lines of... .... Identifies processor and phone representative training needs that can be used to improve... ...processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of...CommercialClaims
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$120k - $150k
...analyze customers’ business information and claims history, monitor client activities to... ...high premium retention ratios Manage accounts for assigned territory Handle new and renewal... ...needed. Qualifications 3 to 5 years of commercial underwriting experience Knowledge of...CommercialClaimsRemote workNight shift$100k - $150k
...Texas, specializing in personal injury matters, commercial/tractor-trailer accidents, and uninsured/underinsured motorist claims. This firm offers a challenging and... ...portfolio of clients, providing expert advice, and representing them in court. The ideal candidate will have...CommercialClaimsTemporary workLocal areaFlexible hours$50k - $150k
...organization's products and services surrounding Commercial Print, Packaging, Labels and Direct... ..., or list of new and existing customer accounts to achieve significant sales targets.... ...and mentor less experienced sales representatives to achieve their sales targets. Recommend...CommercialWork experience placementShift work- ...Commercial Lines Account Manager Position Summary The Commercial... ...inquiries regarding coverage, billing, claims, endorsements, and policy changes.... ...positive working relationships with carrier representatives and underwriting teams....CommercialClaimsWork at officeLocal area
$65k - $70k
...service since 1953. We proudly represent the world’s top beverage... ...schedule* Flexible spending account* Health insurance* Health savings... ...unsaleable checks, inquiries from the commercial departments.* Investigating... ...discrepancies to completion (claim/billbacks).* Supplier...CommercialClaimsFull timeFlexible hoursNight shift- ...accrediting agency). Three (3) years of progressively responsible commercial driving experience, to include one (1) year of experience as a... ...will be needed for employment verification. Applicants claiming military service to meet the experience requirement for this position...CommercialClaimsFull timeWork at officeLocal areaMonday to Friday
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- ...Vaughn is a regional commercial construction company operating throughout Texas. We are focused on building higher education, healthcare... ...investigations, training personnel, managing workers’ compensation claims, and administering first aid when necessary. This position may...CommercialClaims
- ...& Insurance Manage all litigation, claims, investigations, and dispute resolution... ...satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability... ...Broad experience across corporate, commercial, regulatory, manufacturing, employment,...CommercialClaimsContract workLocal areaRemote workWorldwideFlexible hours
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