Claims Billing Specialist – Patient Account Representative

Guidehouse

Claims (Billing) Specialist responsible for preparation of billing data for healthcare payers. Collaborating and ensuring compliance within a hybrid work environment.

Posted 6/26/2026full-timeLewisville • California, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $34,000 - $56,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

billing data preparationinvoice submissionpayment applicationclaims collectionreconciliationrecord keepingbasic math skillsadministrative proceduresclerical procedures

Soft Skills

collaborationprocess improvementindependent workproject initiationconfidentiality

Tools & Technologies

insurance portalsWindows environmentMicrosoft WordMicrosoft Excel

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

healthcarecustomer serviceoffice operations

About the role

Key responsibilities & impact

Preparation of billing data to be used in the billing of payers
Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
Submit invoices to appropriate parties
Applies payments
Collects on unpaid claims
Prepares advance reconciliations and applies payments to the general ledger
Enters information into computer databases for effective record keeping
Collaborates with other staff members to optimize delivery of services
Ensures all compliance standards are met for audit purposes
Maintains confidentiality of records relating to clients
Identifies opportunities to improve our processes
Other duties as assigned

Requirements

What you’ll need

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
0-2+ year's experience in office, business, operations, customer service or healthcare field
Previous experience working in insurance portals (nice to have)
PC skills in a Windows environment
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
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
Able to work with numbers and apply basic math skills to daily tasks

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