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Patient Account Representative - Healthcare Claims
Patient Account Representative - Healthcare Claims-August 2024
Lewisville
Aug 26, 2025
About Patient Account Representative - Healthcare Claims

  Job Family :

  Patient Account Representative

  Travel Required :

  None

  Clearance Required :

  None

  What You Will Do :

  The Insurance Patient Account Representative is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned.

  This position will be on a hybrid schedule working two days in the office and three days from home.

  Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at (424) 430-3111

  Essential Job Functions

  Account Review

  Appeals & Denials

  Medicare/Medicaid

  Insurance Follow-up

  Customer Service

  Billing

  UB-04 & CMS 1500

  Complete all business-related requests and correspondence from patients and insurance companies.

  Responsible for working on 40-70 Accounts Per Day

  Complete all assigned projects in a timely manner.

  Assist client and patients in all requested tasks.

  Communicate to Guidehouse management areas of concern or areas of improvement.

  Research and respond to all patient inquiries received by telephone and mail.

  Update patient demographic information and initiate account adjustments.

  Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

  What You Will Need :

  High School Diploma minimum

  1+ year’s medical provider experience working with UB04, appeals & denials.

  What Would Be Nice To Have :

  PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

  Ability to initiate and follow through on projects and work independently with minimal supervision required.

  #IndeedSponsored

  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 Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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 [email protected] . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

  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.

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