Patient Account Representative - A/R Follow Up Team

Guidehouse; United States; Remote; USD 31,000 - 51,000; Full time

Benefits offered by this job

Medical, RX, Dental & Vision Insurance

Sick Time & Company Paid Holidays

Parental Leave

401(k) Retirement Plan

Tuition Reimbursement

Employee Referral Program

Emergency Back-Up Childcare

Job summary

Guidehouse is seeking a Patient Account Representative to support client office operations remotely. You will handle unpaid accounts, perform claim edits, billing, follow-up, and payment processing to help achieve cash and A/R goals.

The ideal candidate has 1–3+ years in revenue cycle or healthcare customer service, a high school diploma or GED, familiarity with payer portals, and experience with EHR/EMR systems. Bilingual Spanish is a plus.

Qualifications

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

Responsibilities

• Resolve unpaid accounts and meet cash/A/R goals.
• Handle claim editing, billing, follow up, and payment processing.
• Analyze denied/underpaid claims and determine resolution approach.
• Communicate with third-party payers and clients to expedite resolutions.
• Work 100% remote and handle incoming/outbound calls.

Skills

Revenue cycle

Healthcare customer service

Payer portals

EHR/EMR systems

Bilingual Spanish

Education

High School Diploma or GED

Tools

Meditech

Epic

Windows PC

Microsoft Word

Microsoft Excel

Job description

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.

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. Benefits include: 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. 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 [e-mail]. 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. 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