Patient Account Representative - Medicare, Medicaid, Commercial Claims

Guidehouse•El Segundo, CA

12d•$38,000 - $63,000•Hybrid

About The Position

The Insurance Patient Account Representative (Hospital Claims) 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 either in the El Segundo, CA or Lewisville, TX offices and three days from home.

Requirements

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.
0-2+ 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

Responsibilities

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.
Research and respond to all patient inquiries received by telephone and mail.
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.

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