Patient Account Representative – Physician Claims

Guidehouse

Patient Account Representative managing billing processes and account resolutions for healthcare accounts. Collaborating with departments for account resolutions and ensuring timely follow-ups.

Posted 5/10/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $38,000 - $64,000 per yearWebsite

About the role

Key responsibilities & impact

Contacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts
Work all correspondence within 24 hours or receipt
Detail notes regarding correspondence must be entered into the client’s system
Works all denials taking necessary actions to obtain account resolution
Submits appeals, as appropriate, for all non-clinical denials
Monitors all denials for trends and issues and reports findings to supervisor
Bills or re-bills claims as necessary
Ensures the client follows all state and federal rules and regulations both billing and HIPAA
Completes assigned special projects within the time frames given
Attend training sessions and seminars offered by the Client and Third-Party Payers
Appropriately documents each account worked in client practice management system
Makes necessary corrections in client practice management system
Resolves or forwards all address and/or plan changes as appropriate to ensure the integrity of the insurance master is maintained
Updates patient accounts with corrected demographic or insurance information
Posts adjustments based on standard operating procedures or as directed by leadership
Handles all customer calls both internal and external in a professional and courteous manner

Requirements

What you’ll need

High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED
1-3+ year's experience in office, business, operations, customer service or healthcare field
Previous experience working with insurance portals
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

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

account resolutionbillingclaims processingdenial managementappeals submissiondata entrycustomer serviceproject managementinsurance verificationHIPAA compliance

Soft Skills

communicationattention to detailproblem-solvingindependencetime managementprofessionalismcourtesyorganizational skillsanalytical skillsinitiative

Certifications

High School DiplomaGED