Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.
This is a part-time position of approximately 20 hours/week. The hours/days will vary, but will be 2:00 PM - 10:30 PM.
The Admissions Representative is responsible for obtaining and verifying demographic information, insurance benefits and eligibility. Assigns the correct medical record and account number; therefore, providing a database which ensures accurate billing and clinical information. This position performs any and all job-related duties as assigned.
Ensure accurate data element
Customer service excellence
Duties to include but not limited to:
Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.
Obtains required signatures on legal consents and insurance forms.
Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patients file.
Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.
Reviews Physician's orders for completion and ensures all required information is listed.
Completes Medicare Compliance and obtains ABN if necessary.
Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.
Maintains multiple computer systems.
Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
Answers telephone calls. Follows pre-established script and provide assistance to callers.
Completes all shift duties in a timely and accurate manner.
Complies with all safety regulations, policies and procedures as defined by Customer.
High School Diploma or equivalent required.
1 year experience in a hospital setting utilizing insurance websites.
Ability to type a minimum of 35 WPM.
Basic College Courses in Healthcare Occupation preferred.
Medical terminology preferred.
Prior experience utilizing ICD-9 and CPT coding is preferred.
Ability to greet and effectively relate to patients, physicians and staff.
Computer skills and proficient in Microsoft Office software programs.
Great organizational skills and the ability to set priorities and manage time effectively.
Great interpersonal skills and the ability to communicate effectively both orally and in writing.
Able to maintain professional demeanor in high stress environment.
Ability to deal with pressure and complaints.
Presents oneself in a professional manner through appearance and conduct.
Certification/Registration Certified Healthcare Access Associates (CHAA) preferred.
Data entry skills, insurance websites and various software applications preferred.
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges with a focus on markets and clients facing transformational change, technology-driven innovation and significant regulatory pressure. Across a range of advisory, consulting, outsourcing, and technology/analytics services, we help clients create scalable, innovative solutions that prepare them for future growth and success. Headquartered in Washington DC, the company has more than 7,000 professionals in more than 50 locations. Guidehouse is led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
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.