Bilingual Patient Billing Associate – Self-Pay

Guidehouse; San Antonio (TX); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Paid Holidays

Tuition Reimbursement

Job summary

Guidehouse in San Antonio, TX is seeking a Patient Account Representative – Self-Pay to join our healthcare client services team. The role involves handling inbound and outbound calls, resolving patient accounts, and supporting insurance verifications.

The ideal candidate is bilingual in Spanish, has strong communication skills, and can work a Monday–Friday onsite schedule 7:00 AM–5:00 PM CT. Experience in healthcare billing or patient services is a plus.

Qualifications

• High School Diploma or GED; alternative: 3 years relevant experience.
• Bilingual Spanish preferred.
• 0–2 years in healthcare, insurance, or customer service.
• Knowledge of insurance claims, billing, and follow-up responsibilities.

Responsibilities

• Handle inbound and outbound calls with patients and insurance companies.
• Perform soft collections and account reviews.
• Assist with policy statuses and insurance verifications.
• Provide excellent customer service and respond to inquiries via phone and mail.
• Update patient demographic information and initiate account adjustments.
• Coordinate with management on issues and improvements.

Skills

Inbound calls/outbound calls

Soft collections

Account review

EOB knowledge

Insurance verifications

Customer service

Account updates

Verbal/written communication

Project/task completion

Independent work

Spanish language (preferred)

Education

High School Diploma / GED

Tools

Word

Excel

Windows

Job description

Guidehouse in San Antonio, TX is seeking a Patient Account Representative – Self-Pay to join our healthcare client services team. The role involves handling inbound and outbound calls, resolving patient accounts, and supporting insurance verifications.

The ideal candidate is bilingual in Spanish, has strong communication skills, and can work a Monday–Friday onsite schedule 7:00 AM–5:00 PM CT. Experience in healthcare billing or patient services is a plus.