Billing Follow Up Specialist - Physician 1500

The Physician 1500 Billing Follow Up Specialist manages patient account receivables in a responsible and timely manner. This includes contacting insurance and other payers by phone to check on claim status, inputting the claim status by electronic means and documenting in the EHR as required following policies and procedures. The position will handle pertinent follow up correspondence and be effective in providing excellent customer service with insurance companies and patients. The individual must have a broad knowledge of hospital billing requirements. This knowledge will include claims processing, insurance reimbursement, coverage issues and some knowledge of diagnostic coding. Also, the individual must fully understand the functionality of payor characteristics to be successful with all Commercial insurance payors, which have unique information demands. Must be able to communicate clearly and professionally, in both verbal and written form and the ability to maintain excellent interpersonal skills with the patient population, peers and team members. Maintain an excellent working relationship with all physician offices.

Duties:

• Call insurance company for status in a timely manner and notate accounts
• Check website for status in a timely manner and notate accounts
• Bill claims with correct edits/ email coding if necessary
• Follow all policy and procedures required by Medical West
• Follow up on all correspondence timely
• Answer emails timely
• All other duties as assigned

• High School diploma
• 3 years of experience in hospital billing and follow up and/or 3 years or more physician billing and follow up
• Knowledge of coding, CPT4 and ICD10
• Knowledge of revenue codes

Preferred:

• Knowledge of SSI Billing and Meditech

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 1-571-633-1711 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.

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.

Rewards and Benefits

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 and Adoption Assistance
• 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
• Position may be eligible for a discretionary variable incentive

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