Alice Printers

Patients account representative for guidehouse.

• Perform duties for revenue operations related to either medical insurance coverage accuracy
• Work with insurance carriers along with government payors to resolve credits on accounts
• Research to find patient insurance and demographic information (multiple online sites) and sharing information with billing vendor
• Communicate with billing vendor to ensure proper insurance coverage for our patients
• Respond timely and accurately to billing vendor requests Resolving credits when overpayments are received from payers and refunds need to be issued
• Collaborate with other revenue operations teams to ensure seamless processes across teams
• Help identify process changes and opportunities for continuous improvements
• Maintains current patient account information according to PHI
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and policies

• Coordinates with Medical billing team on all denials, follow-ups, and collection related activities
• Ensures compliance with all Department of Public Health (DPH), Medicare, Medicaid, and Third-Party Insurance guidelines including, but not limited to, timely handling of claims and proper documentation for all services
• Investigates and resolves issues, errors, and problems Medical Claims
• Assists Billing Specialists with problem claims, training, and makes process
• Monitors days in Accounts Receivable and ensures that they are maintained at the level of expected by management
• Other duties and special projects as assigned
• Responsible for identifying and obtaining authorization of all codes that may be used throughout complex and variable client treatments on denied claims
• Collaborates with other Provider's Office and Medical Records to ensure documentation is received as requested and completion of submission in a timely manner