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Job Family:
Patient Account Representative
Travel Required:
Clearance Required:
What You Will Do:
The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for Medicaid accounts. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers.
The Patient Account Representative has a strong knowledge of billing, managed care, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.
Location: Avondale Business Office
Onsite, Hybrid, or Remote: Onsite - possibly Hybrid after 6 months
Position type: Full Time, Days, Monday-Friday
What You Will Need:
High School diploma or equivalent.
0-2 years’ experience of hospital billing and follow-up
What Would Be Nice to Have:
CPAR (Certified Patient Account Rep)
Knowledge and understanding of diagnosis, HCPCS and CPT codes.
1 year experience with claim edits, SSI billing system and follow-up related to Medicaid.
Prior experience with Metrix, SSI, and HealthQuest
Experience with spreadsheets, reporting, payer websites and sFax.
Excellent communication and interpersonal skills
Great typing skills along with MS Excel and Word experience
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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 Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
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.
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