Patient Account Representative - Physician Claims

Job Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneWhat You Will Do:The Patient Account Representative (PAR) is expected to perform specific billing processes, follow-up, account resolution, adjustments and scanning as required. This position works with other departments to facilitate the meeting of both departmental facility goals and objectives. This position is responsible for account resolution.  Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers is essentialThis position will be on a hybrid schedule working two days in the Lewisville, TX office and three days from home.The Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.Duties and ResponsibilitiesContacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts.Work all correspondence within 24 hours or receipt.  Detail notes regarding correspondence must be entered into the client’s systemWorks all denials taking necessary actions to obtain account resolutionSubmits appeals, as appropriate, for all non-clinical denialsMonitors all denials for trends and issues and reports findings to supervisorBills or re-bills claims as necessaryEnsures the client follows all state and federal rules and regulations both billing and HIPAACompletes assigned special projects within the time frames givenAttend training sessions and seminars offered by the Client and Third-Party Payers.Appropriately documents each account worked in client practice management systemMakes necessary corrections in client practice management system.Resolves or forwards all address and / or plan changes as appropriate to ensure the integrity of the insurance master is maintainedUpdates patient accounts with corrected demographic or insurance information    Posts adjustments based on standard operating procedures or as directed by leadershipHandles all customer calls both internal and external in a professional and courteous manner.What You Will Need: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.What Would Be Nice To Have:Previous experience working with insurance portalsPC 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#IndeedSponsored#LI-DNIWhat We Offer:Guidehouse offers a comprehensive, total rewards package that includes competit...