Central Denials Account Representative - Hospital, Onsite
Company: Guidehouse
Location: Birmingham
Posted on: October 30, 2024
Job Description:
Job Family:Patient Account RepresentativeTravel
Required:NoneClearance Required:NoneWhat You Will Do:The Central
Denials Account Representative conducts thorough account reviews to
determine the appropriate action needed to resolve the account
balance. This includes reviewing and performing the following:
- 227 Electronic Files
- 835 Electronic Files
- UB04's and 1500 Claim Files
- Medical Record
- Making outbound calls to Insurance Companies to resolve claim
denials and account balances.
- Performing Non-Clinical Appeals.
- Assisting Supervisor/Manager as needed with various
projects.
- Escalate payer issues/trends to a supervisor with the
appropriate information or take appropriate action so that the
issue expert can effectively resolve the matter.
- Communicate to Supervisor/Manager areas of concern or areas of
improvement.
- Resubmit Corrected Claims and supporting documentation as need
for the patient experience.
- Communicate with other organizational departments to ensure
proper handling of patient accounts.
- Communicates issues to management timely and performs other
duties as assigned by direct supervisors.
- Perform a variety of duties often changing from one task to
another of a different nature without loss of efficiency or
composure.What You Will Need:
- HS Diploma or equivalent.
- 0-2 years medical provider experience working with UB04,
appeals & denials.What Would Be Nice to Have:
- Basic computer skills.
- Good written and verbal communications skills.
- Ability to facilitate conversations with others and establish
an understanding of the customer's issue/reason for contact.
- Ability to perform essential job functions with high degree of
independence, flexibility, and creative problem-solving
techniques.
- Ability to interpret and apply reimbursement aspects of managed
healthcare contracts.
- Attentive listening skills.
- Exceptional customer service skills including effective and
efficient problem solving and analyzing skills.
- Ability to initiate and follow through on projects and work
independently with minimal supervision required.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 ProgramAbout 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 . 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.
Keywords: Guidehouse, Huntsville , Central Denials Account Representative - Hospital, Onsite, Healthcare , Birmingham, Alabama
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