Patient Account Representative – Medicaid Redetermination

Guidehouse

Patient Account Representative supporting Medicaid redetermination process with Guidehouse. Conducting inbound and outbound calls to assist constituents with healthcare coverage continuity.

Posted 6/12/2026full-timeLewisville • Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

insurance claimsbillingcodingfinanceaccountingcustomer service

Soft Skills

communicationindependenceproject managementproblem-solving

Tools & Technologies

WindowsWordExcel

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

healthcareMedicaidredeterminationeligibility guidance

About the role

Key responsibilities & impact

The Patient Account Representative – Medicaid Redetermination is an extension of a client’s business office staff
Responsible for supporting constituent Medicaid members through the redetermination (renewal) process to ensure continuity of healthcare coverage
Involves outbound and inbound call support, eligibility guidance, documentation assistance, and accurate account updates in compliance with state and client guidelines
Complete all business-related requests and correspondence from patients
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
Update patient demographic information and initiate account adjustments

Requirements

What you’ll need

High School Diploma / GED OR 3 years of relevant equivalent experience in lieu of education
0-2+ years working within the following sectors: healthcare, insurance, business, finance or customer service
Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service-related responsibilities.
Being Bilingual (comfortable working in both English and Spanish) is preferred
PC skills in a Windows environment are required
Knowledge and utilization of desktop applications to include Word and Excel is essential
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 required

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