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Guidehouse is a global consultancy providing advisory, digital, and managed services to commercial and public sector clients, enabling them to navigate complex challenges with innovative solutions.
Under the direction of the Patient Access Registration Manager, this position is primarily responsible for all insurance notification, verification, and authorization activities necessary to financially secure accounts. Responsibilities include interacting with insurance companies, patients, physician offices and other hospital departments to thoroughly document accounts. Explains financial requirements to patient or other responsible party and collects deposits or deductibles as required.
Position Type: Full Time, Remote. **Please note, the selected candidate must reside within 100 miles of Birmingham, AL**
Schedule: Monday - Friday, 8:00am - 6pm (Shifts starting times are 8 AM, 8:30 AM & 9 AM. Schedule is subject to change based on hospital census and the needs of the business).
Performs insurance notification, verification, and authorization activities necessary to financially secure accounts.
While appropriately prioritizing work based on financial risk / difficulty, incumbent completes notification, verification, & authorization for all inpatient, Ambulatory Surgery and bedded outpatient admissions utilizing the HQ work list as the primary work driver.
In a courteous manner, coordinates with and disseminates information to referring physician/hospital clinical staff and the insurance company to ensure that scheduled accounts are secure prior to admit and non-scheduled accounts are secure 24 hours post admit.
Aggressively explores all possible options to secure an account when problems arise (i.e. contacting physician office, referencing past visits, contacting patient, etc.).
Responsible for thorough system documentation according to established standards.
Communicates with insurance companies, patients, physician offices and/or other hospital departments to complete account documentation requirements Responsible for securing patient accounts.
Explains financial requirements to patient or other responsible party. Collects deposits and deductibles.
Aggressively explores all possible options as a means of securing an account when problems arise.
Informs Patient Access management, registration staff and physician if account is not secure prior to admission.
Coordinates with and disseminates information to referring physician/hospital clinical staff and insurance company to secure scheduled accounts prior to admission and non-scheduled accounts within 24 hours following admission.
Acts in a caring and courteous manner to all patients, guests, visitors, students, and staff.
Provides helpful and friendly assistance in a timely manner.
Demonstrates caring behavior by utilizing positive interpersonal skills.
Effectively responds to inquiries with a pleasant expression, maintaining eye contact, etc.
Caring and courteous behavior will be measured by the number of complaints received in a 12-month period. No more than two complaints are considered satisfactory.
1-3 years of experience in patient access, insurance and/or pre-certification OR 3 years directly related experience in a hospital.
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.
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Tuition Reimbursement, Personal Development & Learning Opportunities
Corporate Sponsored Events & Community Outreach
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
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.
Full Time
Salary: 38k-64k USD
Learn more about Guidehouse and their company culture.
At the heart of what we do is a culture of purpose-driven consulting that empowers us to tackle some of the most pressing challenges faced by both commercial and public sector clients. Guidehouse, a next-generation global consultancy, is committed to leveraging our vast expertise to help clients navigate complexities across diverse industries and geographies. Our teams are dedicated to innovating solutions that disrupt traditional consulting delivery models, thus fostering collaborations that create resilient and transformative outcomes.
Founded in 2018 and with roots extending from PricewaterhouseCoopers LLP's public sector work, we have built a reputation for not only providing advisory, digital, and managed services but for genuinely impacting the sectors we serve, including national security, healthcare, energy, and infrastructure. With over 16,000 professionals, we are devoted to outwitting complexity and achieving meaningful change through integrity, inclusivity, and sustainability. Our commitment does not end with exceptional service delivery; we also prioritize social responsibility and strive to enhance the communities in which we operate. In essence, Guidehouse is not just guiding clients; we are pioneering paths for future innovation and success.
1001-5000 employees
2018
Scott McIntyre
Employee count: 501-1000
Salary: 46k-79k USD
Explore the variety of open remote roles at Guidehouse, offering flexible work options across multiple disciplines and skill levels.
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