Navigant Consulting Inc Patient Account Representative - Insurance - Navigant BPM - Lewisville, TX in Lewisville, Texas

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Insurance Patient Account Representative is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job related duties as assigned.

Questions regarding this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

Essential Job Functions

  • Account Review

  • Appeals & Denials

  • Medicare/Medicaid

  • Insurance Follow-up

  • Customer Service

  • Billing

  • UB-04 and/or CMS 1500

Duties and Responsibilities

  • Complete all business related requests and correspondence from patients and insurance companies.

  • Responsible for working on 40-70 Accounts Per Day

  • Complete all assigned projects in a timely manner.

  • Assist client and patients in all requested tasks.

  • Communicate to Navigant Cymetrix management areas of concern or areas of improvement.

Client Responsibility

  • Research and respond to all patient inquiries received by telephone and mail.

  • Update patient demographic information and initiate account adjustments.

  • Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

  • High School Diploma with a minimum of 1 year medical provider experience.

  • Strong insurance follow-up on claims necessary

  • PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

  • Ability to initiate and follow through on projects and work independently with minimal supervision required.

Questions regarding this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Frequently travels by airplane, train or car as necessary to perform work at another location

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

Questions regarding this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836 .

Navigant Cymetrix 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.

Navigant 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.