Patient Account Representative

Job Family :Patient Account RepresentativeTravel Required :NoneClearance Required :NoneWhat You Will Do :Guidehouse is experiencing exponential growth, driven by an inclusive culture with a desire to see all succeed! We’d like the opportunity to welcome you onboard. Join our team as a Patient Account Representative.In this full-time role, we offer 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.As a Patient Account Representative , you will play a crucial role in the day-to-day operations, ensuring the seamless flow of medical claims processing.Responsibilities will include: Claim Monitoring and Resolution: Proactively monitor and track claim statuses, promptly identifying and resolving rejections or denials. Insurance Follow-up: Conduct regular follow-ups with insurance companies to check on claim statuses and promptly resolve any outstanding issues. Claims Appeals: Review and appeal denied claims, adhering to deadlines and requirements to maximize reimbursement. Regulatory Compliance: Maintain up-to-date knowledge of insurance regulations, billing guidelines, and coding updates to ensure compliance. Collaboration: Work closely with internal teams to address billing discrepancies and ensure adherence to payer requirements. Reporting and Analysis: Generate and analyze reports related to billing and collections, identifying trends and areas for improvementWhat You Will Need :· High School Diploma or equivalent required.· 1+ year experience working in healthcare revenue cycle role.· 1+ year medical provider experience working with CMS-1500 claims, appeals & denials.· Strong communication and problem-solving skills· PC skills in a Windows environment are required specifically Microsoft Word and ExcelWhat Would Be Nice to Have :· Knowledge and utilization of desktop applications to include Word and Excel is essential for job responsibilities.Ability to initiate and follow through on projects and work independently with minimal supervision.The annual salary range for this position is $37,600.00-$56,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.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 GuidehouseGuidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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.If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.