Patient Account Representative - A/R Follow Up Team

Guidehouse•San Antonio, TX

13d•Onsite

About The Position

The Patient Account Representative is an extension of a client’s business office staff and is responsible for the timely and effective resolution of unpaid accounts. The role performs claim editing, billing, follow-up, and payment and adjustment processing to help meet client cash and accounts receivable goals. The representative receives incoming calls and makes outbound calls, researches denied and underpaid claims, determines and carries out appropriate resolutions, identifies and reports issues and trends, and works with third-party payers and clients to expedite claim resolution. The position is on-site at the San Antonio, Texas office, Monday through Friday, from 8:00 a.m. to 4:30 p.m., with no travel required.

Requirements

High school diploma or GED, or at least 3 years of relevant equivalent experience in lieu of a diploma or GED.
1–3+ years of experience working in revenue cycle, health insurance, or healthcare customer service.
Working knowledge of medical insurance claim follow-up, payer portals, and clearinghouses.
Working experience with EHR and EMR systems.

Nice To Haves

Meditech experience.
Epic experience.
PC skills in a Windows environment and knowledge and use of desktop applications including Word and Excel.
Bilingual Spanish.
At least 1 year of experience in a healthcare or customer service setting.
Ability to initiate and follow through on projects and work independently with minimal supervision.

Responsibilities

Receive incoming calls and make outbound calls.
Analyze and research reasons for denied and underpaid claims.
Determine and execute an appropriate approach to resolve claims.
Identify issues and trends and report them to the manager.
Maintain confidential system and payer website access.
Follow QBS account management protocols and strategies.
Maintain current knowledge of relevant systems and federal and state billing regulations.
Maintain current knowledge of contract terms and conditions related to claim resolution.
Correspond with third-party payers, according to established protocols, to obtain claim status and payment.
Communicate with clients as needed to expedite claim resolution.
Perform assigned job-related duties professionally and positively to support cash and accounts receivable goals.

Benefits

Medical, prescription, dental, and vision insurance.
Personal and family sick time and company-paid holidays.
Position may be eligible for a discretionary variable incentive bonus.
Parental leave.
401(k) retirement plan.
Basic life and supplemental life insurance.
Health Savings Account and dental/vision and dependent care Flexible Spending Accounts.
Short-term and long-term disability.
Tuition reimbursement, personal development, and learning opportunities.
Skills development and certifications.
Employee referral program.
Corporate-sponsored events and community outreach.
Emergency back-up childcare program.