Patient Account Representative – Medicare – Medicaid – Commercial Claims

Patient Account Representative – Medicare – Medicaid – Commercial Claims

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

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

Preferred Qualifications

• 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