Patient Account Representative – Physician Claims

Guidehouse

Patient Account Representative resolving physician billing claims for Guidehouse healthcare clients. Managing denials, appeals, payer follow-up, account adjustments, and insurance data accuracy.

Posted 9/3/2026full-timeLewisville • California, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $34,000 - $56,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive knowledge of billing processes, accounts receivable follow-up, and compliance with state and federal billing rules, including HIPAA regulations. Proficient in utilizing insurance portals and desktop applications to manage and resolve account discrepancies effectively.

Highest-signal resume keywords

Billing ProcessesAccounts Receivable Follow-UpInsurance Portal ExperienceHIPAA ComplianceCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

BillingAccount ResolutionDenial ManagementTimely Filing GuidelinesRemittance Advice Review

Soft Skills

Project InitiationIndependent WorkProfessional Communication

Tools & Technologies

Windows EnvironmentWordExcelClient Practice Management System

Industry Keywords

Healthcare BillingThird-Party PayersComplianceCustomer CallsDemographic Updates

About the role

Key responsibilities & impact

Perform billing processes, follow-up, account resolution, adjustments and scanning
Work with other departments to meet departmental and facility goals and objectives
Contact third-party payers and guarantors via payer websites or phone to resolve account balances
Process correspondence within 24 hours and document notes in the client system
Work denials and take actions to obtain account resolution
Submit appeals for non-clinical denials as appropriate
Monitor denial trends and report findings to the supervisor
Bill or rebill claims as necessary
Ensure compliance with state and federal billing rules and HIPAA
Complete special projects within assigned time frames
Attend client and third-party payer training sessions and seminars
Document accounts worked in the client practice management system
Make corrections in the client practice management system
Resolve or forward address and plan changes to maintain insurance master integrity
Update patient accounts with corrected demographic or insurance information
Post adjustments according to standard operating procedures or leadership direction
Handle internal and external customer calls professionally

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 with insurance portals
PC skills in a Windows environment are required
Knowledge and utilization of desktop applications including Word and Excel is essential
Ability to initiate and follow through on projects and work independently with minimal supervision
Extensive knowledge of billing and accounts receivable follow-up
Knowledge of timely filing guidelines
Ability to review remittance advices and electronic billing reports from payers
Ability to comply with state and federal billing rules and HIPAA regulations

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
Flexible benefits package
Flexible work arrangement: hybrid schedule with three days from home