Patient Account Representative - A/R Follow Up Team

US104 Guidehouse Managed Services LLC; San Antonio (TX, FL); Híbrido; USD 31.000 - 51.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical Insurance

PTO & Holidays

Discretionary bonus eligibility

401(k) Retirement Plan

Life Insurance

HSA/FSAs

Descripción de la vacante

Guidehouse is seeking a Patient Account Representative for a 100% remote role in the United States. You will handle inbound and outbound calls, resolve unpaid accounts, and perform claim edits, billing, follow-up, and adjustments to meet cash and A/R goals.

The position requires 1–3+ years in revenue cycle or healthcare customer service, with preferred experience in Meditech or Epic and proficiency in Word/Excel. Spanish bilingual is a plus.

Formación

• High school diploma or GED required; 3+ years in lieu available.
• 1-3+ years in revenue cycle, health insurance, or healthcare customer service.
• Knowledge of medical claims follow-ups, payer portals, and clearinghouses.

Responsabilidades

• Handle incoming calls and make outbound calls to payers and clients.
• Analyze denials and underpayments; determine best resolution approach.
• Perform claim editing, billing, follow-up, and adjustment processing to meet A/R goals.
• Keep up-to-date on federal/state billing regulations and contract terms.

Conocimientos

Revenue cycle knowledge

Payer portals

EMR/EHR systems

Healthcare customer service

Bilingual Spanish

Educación

High School Diploma or GED

Herramientas

Meditech Experience

Epic Experience

Word & Excel

Descripción del empleo

Job Family: Patient Account Representative

Travel Required: None

Clearance Required: None

What You Will Do:

The Patient Account Representative is an extension of a client’s business office staff. Patient accounting representatives are responsible for timely and effective resolution of unpaid accounts. They perform a variety of duties including claim editing, billing, follow up, and payment and adjustment processing in order to meet the client cash and A/R goals. This is a 100% remote position. The qualified individual will be receiving incoming calls and making outbound calls. Analyzes and researches reasons for denied and underpaid claims. Determines and executes best approach for resolution. Identifies issues and trends and reports to manager. Maintains confidential system and payer website access. Follows QBS account management protocols and strategies. Maintains current knowledge of all relevant systems as well as federal and state billing regulations. Maintains current knowledge of contract terms and conditions related to claim resolution. Corresponds with third party payers, according to established protocols, to obtain status and payment. Communicates with clients, as needed, to expedite claim resolution. Performs any and all job-related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/ R goals.

What You Will Need:

• High School Diploma or GED or 3+ years of relevant equivalent experience in lieu of diploma / GED.
• 1-3+ years working within revenue cycle, health insurance, or healthcare customer service.
• Working knowledge of the following: medial insurance claims follow‑ups, payer portals, and clearinghouses.
• Working experience with an EHR and EMR systems.

What Would Be Nice to Have:

• Meditech Experience
• Epic Experience
• PC skills in a Windows environment.
• Knowledge and utilization of desktop applications to include Word and Excel.
• Bilingual Spanish
• 1+ year experience working in a Healthcare or Customer Service setting.
• Ability to initiate and follow through on projects and work independently with minimal supervision.

#IndeedSponsored #LI-DNI

The annual salary range for this position is $31,000.00-$51,000.00.

Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

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.

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account
• Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back‑Up Childcare Program

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 [e-mail].

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 [e-mail].

Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.

Guidehouse is a global AI‑led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors.

With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets.

Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.

guidehouse.com