Patient Access Representative – Notification of Admission

Guidehouse

Patient Access Representative managing payer notifications for hospital admissions to ensure reimbursements. Collaborating with healthcare teams and maintaining knowledge of payer requirements in a remote setting.

Posted 6/30/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $35,000 - $58,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare revenue cycle management, including payer notification processes and insurance verification. Proficient in collaborating with operational teams to ensure compliance with payer requirements and improve notification accuracy.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementPayer Notification ProcessesInsurance VerificationUtilization Review SupportMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer NotificationInsurance VerificationAuthorization ProcessesDocumentation of Payer InteractionsHospital Inpatient WorkflowsObservation WorkflowsQuality Assurance ReviewsTrend AnalysisClient-Specific RequirementsRegulatory Compliance

Soft Skills

CollaborationCommunicationProblem-SolvingAttention to DetailTime Management

Tools & Technologies

Guidehouse SystemsMicrosoft ExcelMicrosoft Outlook

Industry Keywords

MedicareMedicaidManaged CarePatient AccessHealthcare Operations

About the role

Key responsibilities & impact

Reviewing daily inpatient and observation admission reports to identify accounts requiring payer notification.
Submitting “Notification of Admission” requests to commercial, Medicare Advantage, Medicaid Managed Care, and other third-party payers in accordance with payer, regulatory, contractual, and client-specific requirements.
Verifying coverage, eligibility, and account information prior to submission to support clean, accurate notifications.
Documenting confirmation numbers, reference numbers, payer responses, and related communications in designated client and Guidehouse systems.
Monitoring pending notifications, follow up on outstanding requests, and resolve issues within required timelines.
Escalating accounts at risk for missed notification deadlines, authorization-related denials, or reimbursement impact.
Collaborating with Utilization Review, Case Management, and other operational teams to obtain supporting clinical or account information as needed.
Maintaining current working knowledge of payer-specific notification requirements, client workflows, and standard operating procedures.
Identifying trends contributing to notification delays, defects, or denials and communicate improvement opportunities to leadership.
Supporting quality assurance reviews, reporting activities, training reinforcement, and continuous performance improvement initiatives.
Meeting or exceeding productivity, quality, timeliness, and service level expectations established by Guidehouse and client organizations.

Requirements

What you’ll need

High School Diploma or GED OR 3 years of Relevant Equivalent Experience in Lieu of Education
1+ years of experience in healthcare revenue cycle, patient access, insurance verification, authorization, utilization review support, or related healthcare operations
Working knowledge of commercial, Medicare, Medicaid, and managed care payer requirements.
Working knowledge of hospital inpatient and observation workflows.
Professional experience documenting payer interactions and account activities clear and concisely
Proficiency with Microsoft Office applications, including Excel and Outlook.

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