Central Denials Unit - Patient Account Representative

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Denials Patient Account Representative will manage, update and prepare a variety of reports for leadership. Subject Matter Experts will assist with providing/finding solutions and account guidance for multiple payers. They will assist supervisors and managers as needed with various projects and review and resolve denials. They will submit facility and non-clinical appeals and facilitate resolution by referring the matter to the appropriate subject matter expert. They will escalate matters to supervisors and request the appropriate information or take action so that the issue can be effectively resolved. They will also do the following:

• Resubmit Corrected Claims and supporting documentation as need for the patient experience.

• Communicate with other organizational departments to ensure proper handling of patient accounts.

• Communicates issues to management timely and performs other duties as assigned by direct supervisors.

• Perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure.

What You Will Need:

• HS Diploma or equivalent

• 1 - 3 years related or general knowledge of payor-specific or medical specialty billing

What Would Be Nice To Have:

• Professional client engagement experience

• Ability to interpret and apply reimbursement aspects of managed healthcare contracts.

• Effective and efficient problem solving and analyzing skills.

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.