Patient Account Representative - Medicare Specialist
About The Position
The Insurance Patient Account Representative will be a subject matter expert in all matters of Medicare Claims A/R follow-up .This position 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. For individuals living within 50 miles of the Lewisville, TX, El Segundo, CA or Mitchell, SD offices, this position will be on a hybrid schedule working two days in the office 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
- Strong Medicare A/R Follow-up background
- 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
- Medicare Subject Matter Expert
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
