Patient Account Representative
| Company | Guidehouse |
|---|---|
| Location | Birmingham, AL, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- High School diploma or equivalent.
- 0-2 years of experience in hospital billing and/or claims follow-up.
Responsibilities
- Perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for non-government accounts.
- Work with other departments to facilitate the meeting of both departmental/facility goals and objectives.
- Verify payments received are correct per our contract.
- Ensure patient satisfaction and demonstrate the ability to find solutions to problems.
- Collaborate with Management regarding payment patterns and/or other issues with specific payers to ensure efficient process execution.
- Review remittance advices and electronic billing reports from payer to determine appropriate actions.
- Perform all related job duties as assigned.
Preferred Qualifications
- CPAR (Certified Patient Account Rep)
- Knowledge and understanding of diagnosis, HCPCS and CPT codes.
- 1 year experience with claim edits and follow-up related to government/non-government claims accounts.
- Prior experience with Metrix, SSI, and HealthQuest
- Experience with spreadsheets, reporting, payer websites and sFax.
- Excellent communication and interpersonal skills
- Great typing skills along with MS Excel and Word experience.