Abrar Admin

Guidehouse Managed Services

<div>Job Family:
Patient Account Representative 
Travel Required:
None 
Clearance Required:
None<div>
What You Will Do:</div><div><div><div><div><div><div><div><div><div> 
The Insurance Patient Account Representative is an extension of a client&rsquo;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.
Essential Job Functions<ul><li>
Facilitates the billing and collection processes of outstanding accounts receivable</li><li>
Communicates with internal and external contacts to explain primary, secondary and tertiary billing, collection and resolution of claims including Medicare and other government and nongovernment accounts</li><li>
Monitors daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments; alerts management of high call volume patterns</li><li>
Handles incoming and outgoing billing correspondence and phone inquiries relating to patient, third party administrators, attorneys, vendors and other insurance payers</li><li>
Documents conversations and/or actions taken to support all claims inquiries, review and/or reconsiderations; streamlines the follow-up process of team members assisting on the file</li><li>
Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic and billing information is updated</li><li>
Works to resolve any claim or billing concerns and takes appropriate action to escalate issues to management when appropriate</li><li>
Performs follow-up processes on accounts to work towards a zero balance</li><li>
Files a timely reconsideration or review of claim with supporting documentation such as a corrected claim, medical records and letter of explanation as necessary; communicates with departments to gather information needed to resolve the claim</li><li>
Performs balance transfers</li><li>
UB-04 &amp; CMS 1500</li><li>
Complete all business-related requests and correspondence from patients and insurance companies.</li><li>
Responsible for working on average 35 Accounts Per Day</li><li>
Complete all assigned projects in a timely manner.</li><li>
Assist client and patients in all requested tasks.</li><li>
Communicate to Guidehouse management areas of concern or areas of improvement.</li><li>
Research and respond to all patient inquiries received by telephone and mail.</li><li>
Update patient demographic information and initiate account adjustments.</li><li>
Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.</li></ul> 
What You Will Need:<ul><li>
High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.</li><li>
0-2+ year's experience in office, business, operations, customer service or healthcare field.</li></ul>
What Would Be Nice To Have:<ul><li>
Previous experience working in insurance portals</li><li>
PC skills in a Windows environment.</li><li>
Knowledge and utilization of desktop applications to include Word and Excel is essential.</li><li>
Ability to initiate and follow through on projects and work independently with minimal supervision</li></ul>
#IndeedSponsored
#LI-DNI</div></div></div></div></div></div></div></div></div>
The annual salary range for this position is $34,000.00-$56,000.00. 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:<ul><li>
Medical, Rx, Dental &amp; Vision Insurance</li><li>
Personal and Family Sick Time &amp; Company Paid Holidays</li><li>
Position may be eligible for a discretionary variable incentive bonus</li><li>
Parental Leave</li><li>
401(k) Retirement Plan</li><li>
Basic Life &amp; Supplemental Life</li><li>
Health Savings Account, Dental/Vision &amp; Dependent Care Flexible Spending Accounts</li><li>
Short-Term &amp; Long-Term Disability</li><li>
Tuition Reimbursement, Personal Development &amp; Learning Opportunities</li><li>
Skills Development &amp; Certifications</li><li>
Employee Referral Program</li><li>
Corporate Sponsored Events &amp; Community Outreach</li><li>
Emergency Back-Up Childcare Program</li></ul>
About Guidehouse
Guidehouse is an Equal Opportunity Employer&ndash;Protected Veterans, Individuals with Disabilities 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse&rsquo;s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant&rsquo;s dealings with unauthorized third parties.
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.</div>

Patient Account Representative - Medicare, Medicaid, Commercial Claims

<div>Job Family:
Patient Account Representative 
Travel Required:
None 
Clearance Required:
None
What You Will Do:
The Claims (Billing) Specialist / Insurance Patient Account Representative is an extension of a client&rsquo;s business office staff. Representatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with.
This position will be on a hybrid schedule working two days either in the Lewisville, TX office or El Segundo, CA office and three days from home.
RESPONSIBILITIES AND DUTIES<ul><li>
Preparation of billing data to be used in the billing of payers</li><li>
Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports</li><li>
Submit invoices to appropriate parties</li><li>
Applies payments</li><li>
Collects on unpaid claims</li><li>
Prepares advance reconciliations and applies payments to the general ledger</li><li>
Enters information into computer databases for effective record keeping</li><li>
Collaborates with other staff members to optimize delivery of services</li><li>
Ensures all compliance standards are met for audit purposes</li><li>
Maintains confidentiality of records relating to clients</li><li>
Identifies opportunities to improve our processes</li><li>
Other duties as assigned</li></ul>
What You Will Need:<ul><li>
High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.</li><li>
0-2+ year's experience in office, business, operations, customer service or healthcare field.</li></ul>
What Would Be Nice To Have:<ul><li>
Previous experience working in insurance portals</li><li>
PC skills in a Windows environment.</li><li>
Knowledge and utilization of desktop applications to include Word and Excel is essential.</li><li>
Ability to initiate and follow through on projects and work independently with minimal supervision</li><li>
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology</li><li>
Able to work with numbers and apply basic math skills to daily tasks</li></ul>
#IndeedSponsored
#LI-DNI
The annual salary range for this position is $34,000.00-$56,000.00. 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:<ul><li>
Medical, Rx, Dental &amp; Vision Insurance</li><li>
Personal and Family Sick Time &amp; Company Paid Holidays</li><li>
Position may be eligible for a discretionary variable incentive bonus</li><li>
Parental Leave</li><li>
401(k) Retirement Plan</li><li>
Basic Life &amp; Supplemental Life</li><li>
Health Savings Account, Dental/Vision &amp; Dependent Care Flexible Spending Accounts</li><li>
Short-Term &amp; Long-Term Disability</li><li>
Tuition Reimbursement, Personal Development &amp; Learning Opportunities</li><li>
Skills Development &amp; Certifications</li><li>
Employee Referral Program</li><li>
Corporate Sponsored Events &amp; Community Outreach</li><li>
Emergency Back-Up Childcare Program</li></ul>
About Guidehouse
Guidehouse is an Equal Opportunity Employer&ndash;Protected Veterans, Individuals with Disabilities 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse&rsquo;s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant&rsquo;s dealings with unauthorized third parties.
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.</div>

Claims (Billing) Specialist / Patient Account Representative - Healthcare

<div>Job Family:
Business Operations 
Travel Required:
None 
Clearance Required:
None
What You Will Do:
The Medical Billing Supervisor is responsible for the daily operations of billing and works closely with Information Systems, Medical Records, Patient Access and all Ancillary Departments to ensure compliance/ regulatory and accuracy of all billings. This position is responsible for the supervision of billers, billing systems and billing processes. The Billing Supervisor reports directly to an Operations Manager or Director level position and may perform any and all related job duties as assigned.
Essential Job Functions<ul><li>
Leadership / Training</li><li>
Medical Billing</li><li>
Compliance &amp; Account Accuracy</li><li>
Reporting</li><li>
Compliance/ Regulatory Billing Knowledge</li></ul>
Leadership and Training:<ul><li>
Acts and leads in a manner that will instill trust and foster team play.</li><li>
Ensures that all employees know and understand all State and Federal Rules and Regulations.</li><li>
Provide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.</li><li>
Maintain open communications and provide appropriate feedback.</li><li>
Allow employees to attend seminars which will enhance productivity and knowledge.</li><li>
Ensures employees have all the tools necessary to achieve the goals set.</li><li>
Hire and develop staff as departmental needs dictate.</li></ul>
Billing:<ul><li>
Works with all departments to ensure accuracy of all relevant billing material and Revenue Codes.</li><li>
Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.</li><li>
Reviews billing process and systems to ensure the most effective methods are maintained to meet both departmental and facility goals.</li><li>
Institutes changes in techniques and processes as necessary.</li><li>
Works with IT to ensure that all UB/837/HCFA1500 changes are completed to ensure accuracy of billing is maintained.</li><li>
Ensures bill hold in electronic systems meets established goal.</li><li>
Works with Ancillary Departments, Patient Access, Medical Records and Information Systems to ensure clean claim rate meets established goals.</li><li>
Works with both electronic billing vendor and payers to resolve billing issues.</li><li>
Ensures that employees have access to all tools.</li><li>
Reviews 2% of billings for both quantity and quality.</li><li>
Provide both positive and negative feedback to employees regarding review.</li></ul>
Compliance:<ul><li>
Communicates all compliance issues to Manager.</li><li>
Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.</li><li>
Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.</li><li>
Reviews and maintain all requirements for billing.</li></ul>
Reporting:<ul><li>
Responsible for the weekly Key Indictor Reports and Accomplishments Reports which are due on a weekly basis.</li><li>
Medi.com billing error report to departments daily.</li><li>
Maintain logs by department for claims in Medi.com hold status.</li><li>
Daily electronic and paper claim report.</li><li>
Other reports as requested by management.</li><li>
Weekly report of Late Charge to Departments.</li></ul> 
What You Will Need:<ul><li>
Requires a Bachelors Degree and a minimum of 5 years of prior relevant experience or an AA degree and a minimum of 7 years' experience. (Relevant experience may be substituted for formal education or advanced degree).</li><li>
Experience can come from medical billing, eligibility, financial counseling patient access or insurance verification within a healthcare provider, payor or outsourcing company.</li><li>
A minimum of two years of people leadership experience is required.</li></ul>
What Would Be Nice To Have:<ul><li>
Previous experience installing/utilizing Relay Health ePremis claims scrubber preferred.</li><li>
PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel is essential.</li><li>
Excellent verbal and written communication skills.</li><li>
Ability to initiate and follow through on projects and work independently with minimal supervision required.</li><li>
Previous staff supervisory experience a plus</li></ul>
#IndeedSponsored
The annual salary range for this position is $74,000.00-$124,000.00. 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:<ul><li>
Medical, Rx, Dental &amp; Vision Insurance</li><li>
Personal and Family Sick Time &amp; Company Paid Holidays</li><li>
Position may be eligible for a discretionary variable incentive bonus</li><li>
Parental Leave</li><li>
401(k) Retirement Plan</li><li>
Basic Life &amp; Supplemental Life</li><li>
Health Savings Account, Dental/Vision &amp; Dependent Care Flexible Spending Accounts</li><li>
Short-Term &amp; Long-Term Disability</li><li>
Tuition Reimbursement, Personal Development &amp; Learning Opportunities</li><li>
Skills Development &amp; Certifications</li><li>
Employee Referral Program</li><li>
Corporate Sponsored Events &amp; Community Outreach</li><li>
Emergency Back-Up Childcare Program</li></ul>
About Guidehouse
Guidehouse is an Equal Opportunity Employer&ndash;Protected Veterans, Individuals with Disabilities 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse&rsquo;s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant&rsquo;s dealings with unauthorized third parties.
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.</div>

Supervisor, Medical Billing

Join Guidehouse Managed Services and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Guidehouse Managed Services

About Company

Patient Account Representative - Medicare, Medicaid, Commercial Claims

Claims (Billing) Specialist / Patient Account Representative - Healthcare

Supervisor, Medical Billing