Claims (Billing) Specialist / Patient Account Representative - Healthcare

Guidehouse•Lewisville, TX

2d•Hybrid

About The Position

The Claims (Billing) Specialist / Insurance Patient Account Representative is an extension of a client’s business office staff. Representatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. This position will be on a hybrid schedule working two days either in the Lewisville, TX office or El Segundo, CA office and three days from home.

Requirements

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.
1-3+ year's experience in office, business, operations, customer service or healthcare field.

Nice To Haves

Previous experience working in insurance portals
PC skills in a Windows environment.
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
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
Able to work with numbers and apply basic math skills to daily tasks

Responsibilities

Preparation of billing data to be used in the billing of payers
Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
Submit invoices to appropriate parties
Applies payments
Collects on unpaid claims
Prepares advance reconciliations and applies payments to the general ledger
Enters information into computer databases for effective record keeping
Collaborates with other staff members to optimize delivery of services
Ensures all compliance standards are met for audit purposes
Maintains confidentiality of records relating to clients
Identifies opportunities to improve our processes
Other duties as assigned

Benefits

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