Patient Account Representative – Diagnostic Scheduling Authorizations

US104 Guidehouse Managed Services LLC; San Antonio (TX); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

401(k) Retirement Plan

Paid Holidays

Tuition Reimbursement

Job summary

Guidehouse is seeking a Patient Account Representative to obtain payer authorizations for scheduled diagnostic services. This 100% onsite role is based in San Antonio, TX and requires living within 50 miles of the office.

You will verify authorization requirements, submit complete requests, and track cases to resolution, with potential future paths in post-bill AR or other revenue cycle functions. Candidates need a high school diploma or GED and 1–3 years in healthcare revenue cycle, with strong

Qualifications

• High School Diploma or GED or 3+ years of relevant experience in lieu of the education.
• 1–3 years of experience in healthcare revenue cycle or related operations.
• Experience obtaining authorizations for imaging or diagnostic services.

Responsibilities

• Obtain payer authorizations for scheduled diagnostic services.
• Verify authorization requirements and submit complete requests.
• Follow cases through determination and communicate issues impacting timeliness.

Skills

Healthcare revenue cycle

Authorization processes

Written communication

Detail orientation

Independent work

Education

High School Diploma or GED

Tools

Epic

Meditech

Payer portals

Job description

Job Family:

Patient Account Representative

Travel Required: None

Clearance Required: None

This role is 100% onsite in San Antonio, TX. Candidates must live within 50 miles of the office.

What You Will Do:

The Patient Account Representative obtains payer authorizations for scheduled diagnostic services. The role verifies authorization requirements, submits complete requests, follows pending cases through determination, and communicates issues that could delay service or create authorization-related denials. Diagnostic scheduling authorization is the current and primary assignment. Based on future business or client needs, the role may transition to post-bill insurance A/R follow-up or another revenue cycle function; no transition date or future assignment has been established.

What You Will Need:

• High School Diploma or GED or 3+ years of relevant experience in lieu of the education
• 1-3 years of experience in healthcare revenue cycle, patient access, insurance verification, prior authorization, diagnostic scheduling, or a related healthcare operation.
• Experience obtaining authorizations for imaging, diagnostic, outpatient, or procedural services.
• Working knowledge of insurance eligibility, benefits, and authorization processes for government and commercial payers, including Medicaid, Medicare Advantage, Veterans Affairs (VA), workers' compensation, managed care organizations (HMO/PPO), and commercial carriers.
• Strong written and verbal communication skills, with the ability to accurately document payer interactions, account activity, follow-up efforts, and resolution outcomes.
• Strong attention to detail, organization, time management, and accountability.
• Ability to interpret payer guidelines and use payer portals, authorization tools, electronic health records, and work queues.
• Ability to work independently while meeting established productivity, quality, accuracy, and turnaround-time expectations.

What Would Be Nice To Have:

• Experience using Epic, Meditech, or another electronic health record, payer portals, and scheduling or authorization workqueues.
• Knowledge of medical necessity requirements and authorization-related denial prevention.
• Experience with insurance A/R follow-up or other revenue cycle functions is helpful for potential future reassignment but is not required for the current role.

What We Offer:

• 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.

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