Patient Account Representative

Title: Patient Account Representative - Hospital A/R - Commercial & Government

Location: Client Office: San Marcos, CA

Job type: Hybrid
Time Type: Full Time
Job id: 33950

Job Description:

Job Family:

Patient Account Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:
 

The Insurance Patient Account Representative - Hospital A/R Emphasis 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 is classified under a hybrid schedule. Working two days in the San Marcos office and three days from home.

Essential Job Functions

• Hospital Claims

• Account Review

• Appeals & Denials

• Medicare/Medicaid

• Insurance Follow-up

• Customer Service

• Billing

• UB-04

Duties & Responsibilities

• Complete all business-related requests and correspondence from patients and insurance companies.

• Responsible for working on 40 +/- 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+ years relevant experience within healthcare, insurance, business and/or revenue cycle operations.

What Would Be Nice To Have:

• 1+ year’s medical provider experience working with UB04, appeals & denials.

• Hospital or EOB claims emphasis

• PC skills in a Windows environment are required. 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 required.

#LI-DNI

The annual salary range for this position is $38,000.00-$63,000.00. 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.

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.