Patient Account Representative - Denials

Guidehouse Inc.; Birmingham (AL); On-site; USD 40,000 - 56,000; 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 Birmingham, AL is seeking a Patient Account Representative to review denied insurance claims and perform follow-up with payers to secure timely payments. You will work closely with the Revenue Cycle team to identify denial reasons and support resolution efforts across a high-volume environment.

The role emphasizes attention to detail, knowledge of health insurance, and strong communication skills to improve claim accuracy and payment timelines.

Qualifications

• High School Diploma or GED or 2+ years of relevant working experience.
• 0-2+ years of working experience in healthcare, health insurance, finance or customer service.
• Working knowledge of health insurance.

Responsibilities

• Review denied or unpaid insurance claims and follow up with insurers to ensure payment.
• Identify denial reasons and support accurate claim processing.
• Collaborate with team and client to improve Revenue Cycle.

Skills

0-2+ years healthcare experience

Strong communication

Attention to detail

Education

High School Diploma or GED

2+ years relevant experience in lieu of education

Tools

Microsoft Excel

Microsoft Word

Job description

Job Family : Patient Account Representative

Travel Required : None

Clearance Required : None

What You Will Do :

The Patient Account Representative (PAR) will assist in account review of denied insurance claims and account follow-up within a healthcare revenue cycle environment. This position is responsible for reviewing denied or unpaid insurance claims, identifying denial reasons, and performing timely follow-up with patient's insurance to ensure accurate claim processing and payment. The PAR will work closely with their team, leadership, and the client to work on opportunities to improve within the Revenue Cycle.

What You Will Need :

• High School Diploma or GED or 2+ years of relevant working experience in lieu of the education
• 0-2+ years of working experience in healthcare, health insurance, finance or customer service
• Working knowledge of health insurance

What Would Be Nice To Have :

• Multiple payer experience in a high-volume environment
• Basic knowledge of medical billing, insurance claims, and revenue cycle.
• Understanding of insurance guidelines
• Ability to interpret Remits/EOBs (explanation of benefits)
• Basic knowledge of CPT, ICD-10, and HCPCS
• Knowledge of HIPAA regulations and patient privacy requirements
• Strong attention to detail and organizational skills
• Effective Communication skills (Verbal and Written)
• Proficiency with Microsoft Office (specifically Excel and Word)
• Ability to prioritize tasks
• Strong Analytical and Problem-Solving skills

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.