Commercial Billing, Guidehouse
Medical Biller
$41.4-62.1k
2 days a week in office (Gardena, CA)
Consulting services for the public sector and commercial markets
Job no longer available
Consulting services for the public sector and commercial markets
1001+ employees
Job no longer available
$41.4-62.1k
2 days a week in office (Gardena, CA)
1001+ employees
Company mission
To solve big problems, build trust in society and empower our clients to shape the future.
Role
Who you are
- High School diploma
- 2 years billing or follow-up experience in Healthcare field or combination of billing and A/R follow-up
- Excellent communication and interpersonal skills
- Experience with Excel and Word
What the job involves
- Performs daily download and reconciliation of claims from patient accounting system to electronic billing system
- Transmits or releases claims at a minimum daily
- Works all assigned claims daily by resolving edits, validating claim, or placing on departmental hold by reason
- Follows-up on all assigned held claims or unreleased claims
- Bills claims via electronic billing system
- Reviews same day and 72 hour admission report to determine if accounts needed to be combined
- Ensures all address changes and or plan changes are forwarded to the appropriate people so the integrity of the insurance master is maintained
- Files adjusted billings based on audits and or changes in diagnosis or DRG
- Updates patient accounts with corrected demographic or insurance information
- Works all rejection and payer audit reports within 48 hours of receipt taking whatever action may be required to obtain account resolution
- Monitors all denials for trends and issues and reports finding to supervisor
- Bills or re-bills as necessary
- Ensures hospital is in compliance with all state and federal rules and regulations both billing and HIPAA
- Assigned special projects will be completed within the time frames given
- Appropriately documents electronic billing system and/or patient accounting system
- Attends training sessions and seminars offered by the Hospital and Third Party Payers
- Handles all customer calls both internal and external in a professional and courteous manner
- Returns calls and emails as soon as possible, but must be returned within 24 hours
- Follows the mission statement and values established by the facility
Our take
Guidehouse is a leading global provider of consulting services to the public sector and commercial market. Its suite of services covers management, technology, and risk consulting. This combination of expertise ensures its clients can address their most complex challenges and navigate significant regulatory pressures, so they are able to focus on transformational change, business resiliency, and technology-driven innovation.
Guidehouse is a portfolio company of Veritas Capital, which has given it a significant advantage as it has been empowered by the substantial and diverse expertise of seasoned professionals, thus fueling rapid growth. Further, the company has a market intelligence arm, called Guidehouse Insights, that provides research, data, and benchmarking services for today’s rapidly changing and highly regulated industries.
Since its establishment in 2018, the company has grown five-fold to over $3 billion, expanded to 55 global locations, and has nearly 17,000 employees around the world. By helping its clients create scalable, innovative solutions that fuel growth and success, Guidehouse has certainly secured its future growth potential.
Freddie
Company Specialist at Welcome to the Jungle
Insights
Company
Funding (1 round)
Feb 2023
$0.8m
GRANT
Total funding: $0.8m
Company benefits
- Flexible benefits package
Company HQ
Penn Quarter, Washington, DC
Leadership
Scott McIntyre
(Chairman & CEO, not founder)Former Managing Partner at PwC, Vice President of BearingPoint, and Electro Optics Project Manager at Vredenburg.
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