Patient Account Representative - A/R Follow Up Team

Clearance Required: None

Schedule: 8AM-4:30PM | Monday - Friday at San Antonio, TX Office (On-Site)

What You Will Do: The Patient Account Representative is an extension of a client's business office staff. Patient accounting representatives are responsible for timely and effective resolution of unpaid accounts. They perform a variety of duties including claim editing, billing, follow up, and payment and adjustment processing in order to meet the client cash and A/R goals. The qualified individual will be receiving incoming calls and making outbound calls.

Responsibilities include: Analyzes and researches reasons for denied and underpaid claims. Determines and executes best approach for resolution. Identifies issues and trends and reports to manager. Maintains confidential system and payer website access. Follows QBS account management protocols and strategies. Maintains current knowledge of all relevant systems as well as federal and state billing regulations. Maintains current knowledge of contract terms and conditions related to claim resolution. Corresponds with third party payers, according to established protocols, to obtain status and payment. Communicates with clients, as needed, to expedite claim resolution. Performs any and all job-related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/R goals.

What You Will Need: High School Diploma or GED or 3+ years of relevant equivalent experience in lieu of diploma / GED. 1-3+ years working within revenue cycle, health insurance, or healthcare customer service Working knowledge of the following: medical insurance claims follow-ups, payer portals, and clearinghouses Working experience with an EHR and EMR systems

What Would Be Nice to Have: Meditech Experience Epic Experience PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel. Bilingual Spanish 1+ year experience working in a Healthcare or Customer Service setting. Ability to initiate and follow through on projects and work independently with minimal supervision.

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 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.