Job Family:
Patient Account Representative
Travel Required:
None
Clearance Required:
None
What You Will Do:
Such duties may include, but are not limited to, the following responsibilities: – Answer inbound customer service calls and make some outbound follow up calls in a professional, patient experience and customer service-oriented manner.
Answer the calls timely without drops/abandons.
Ascertain the reason for the call and assist the caller with their questions, concerns or problems with the focus on first call resolution.
Facilitate resolution by referring the matter to the issue/content expert.
Escalate the matter to a supervisor, request the appropriate information or take appropriate action so that the issue expert can effectively resolve the matter.
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.
Facilitate conversations with others and establish an understanding of the customer’s issue/reason for contact.
Perform essential job functions with high degree of independence, flexibility, and creative problem-solving techniques.
Maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found.
Function effectively under stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities.
Interpret and apply reimbursement aspects of managed healthcare contracts.
What You Will Need:
High school diploma or GED
Exceptional phone and customer service skills
Advanced computer skills, knowledge of medical terminology, PC applications, and math/bookkeeping skills
What Would Be Nice To Have:
1 – 3 years related or general knowledge of payor-specific or medical specialty billing
Dialer experience preferred Due to our contractual requirements, to be eligible for this role
Bilingual (English/Spanish) preferred
You must be fully COVID-19 vaccinated at time of hire. – SHIFTS are 8-5. 9-6, 10-7 and 11-8. Must be able to work these hours.
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 Program
About Guidehouse
Guidehouse 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- 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.
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