Job Family:
Travel Required:
Clearance Required:
Responsibility
The Senior Accounts Receivable Analyst performs account review and claims follow-up on outstanding accounts. Analyst is responsible resubmitting claims, contacting insurance companies, analyzing remittances and taking appropriate action on rejections and denials.
Operational Responsibilities:
• Review patient ledgers with outstanding charges and take next best action for follow up to collect balances.
• Verify insurance eligibility and update patient accounts based on client-specific SOPs
• Investigate claims status and next best action for open accounts via available insurance websites.
• Call insurance companies to investigate claims status, identify appeals action and next best action to resolve accounts.
• Identify claim denial trends or provider related issues that delay or reduce reimbursement.
• Meet or exceed targeted productivity levels on a daily/monthly basis
• Perform work with exceptionally high quality. Meet or exceed target quality levels.
• Commitment to work as a member of a team to meet and exceed client-specific SLAs.
Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets.
Shall report incidents related to security of information to concerned authorities.
Minimum Qualification
Bachelor’s degree in a related field (BBA, B.Com, BSc, B Tech, etc) from an accredited college or university.
Minimum Experience and skills
• At least 2 years of experience working in a revenue cycle with at least one year of experience working on A/R follow up processes (voice). Advanced understanding of US healthcare including Medicaid, Medicare, private insurance and basic medical & billing terminology.
• Excellent English language skills and verbal English skills with low to neutral accent.
• Strong organizational, quantitative and analytical skills.
• Strong problem-solving skills
• Excellent keyboarding skills
• Proficiency in Microsoft Office (Word, Outlook, Excel)
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.
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.
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 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.