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Patient Account Representative - Medicare Claims Follow-up

Guidehouse
San Marcos, CA, US
Full-time

Job Family :

Patient Account Representative

Travel Required : None

None

Clearance Required : None

None

What You Will Do :

The Insurance Patient Account Representative - Medicare 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 will be on a hybrid schedule working two days in the office and three days from home.

Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at (424) 430-3111

Essential Job Functions

Medicare Claims

Account Review

Appeals & Denials

Medicare / Medicaid

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.

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

High School Diploma

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

What Would Be Nice To Have :

Medicare 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.

The annual salary range for this position is $37,600.00-$56,400.00. 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

30+ days ago
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