- US Bank (St. Paul, MN)
- …or the unauthorized use of their personal sensitive information used to establish an account at US Bank + Claims reported directly to the bank, or indirectly ... through credit reporting agencies + Responsible for the claims specialist's investigating the reported event while performing a reasonable investigation to determine… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None Job Posting **Guidehouse is hiring! We have ... Patient Account Rep and Senior Patient Account Rep...+ 0-2 years of experience in hospital billing and/or claims follow-up **What Would Be Nice to Have** **:**… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Patient ... Account Representative (PAR)** is expected to perform specific billing...and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all… more
- Guidehouse (El Segundo, CA)
- …**Clearance Required** **:** None **What You Will Do** **:** The **Insurance Patient Account Representative** **(Hospital Claims )** is an extension of a client's ... out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed....an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...receipt taking whatever action may be required to obtain account resolution. + Monitors all denials for trends and… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do:** The **Credit Balance Specialist** **(Physician Claims )** will manage credit balance workloads and respond and follow-up on external ... and escalate where appropriate. + Maintain accurate, clear, concise and complete account notes and other relevant information. + Respond to requests for information… more
- Guidehouse (San Marcos, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Cash ... + Basic Life & Supplemental Life + Health Savings Account , Dental/Vision & Dependent Care Flexible Spending Accounts +...an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note… more
- Guidehouse (San Marcos, CA)
- …San Marcos office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required**...with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment… more
- Guidehouse (El Segundo, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do:** The **Patient Account ... and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do:** The **Patient Account ... handling incoming calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials ... Account Representative conducts thorough account reviews to...of concern or areas of improvement. + Resubmit Corrected Claims and supporting documentation as need for the patient… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Team Lead - ... Hospital Claims ** is responsible for supervising and coordinating the daily...operations and activities of the assigned team of patient account representatives. This role ensures the efficient handling of… more
- Guidehouse (Minneapolis, MN)
- …this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… more
- Guidehouse (Boston, MA)
- …Testing** : Confirm HL7/FHIR message integrity across labs, imaging, MIIS, PBM claims , and SOPS Meta. + **Security Testing** : Validate role-based access, HIPAA, ... AA standards for behavioral health and vulnerable populations. + **Charge and Claims Testing** : Validate financial workflows and payer adjudication. + **Parallel… more
- Guidehouse (Atlanta, GA)
- …Lead quantitative analysis and modeling of real-world data, including CMS, commercial claims , and clinical health data, to generate actionable insights for federal ... data science and epidemiology, including deep experience analyzing CMS or commercial claims data, clinical data, or other large health datasets to generate… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Assists patients in ... write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party… more
- Guidehouse (Bethesda, MD)
- …and ingestion pipelines for large-scale, heterogeneous healthcare data (eg, EHRs, claims , registries, geospatial data). + Design, implement, and maintain ETL/ELT ... + Voluntary Life and AD&D Insurance + Health Savings Account , Health Care & Dependent Care Flexible Spending Accounts...an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note… more
- The County of Los Angeles (Los Angeles, CA)
- …latter typically leads large or enterprise security projects and may supervise staff. Check Out Our Outstanding Benefits! The County of Los Angeles offers an ... managing physical and environmental IT security methodologies to prohibit unauthorized physical access and prevent damage to IT resources....steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more