Patient Account Representative – Physician Claims

Guidehouse

Patient Account Representative resolving billing, denials, and account balances for Guidehouse healthcare clients. Hybrid schedule combining Lewisville or El Segundo office work with home-based days.

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 expertise in billing processes, accounts receivable follow-up, and compliance with HIPAA regulations. Proficient in utilizing desktop applications and managing customer interactions effectively.

Highest-signal resume keywords

Billing ProcessesAccounts Receivable Follow-UpInsurance Portals ExperienceHIPAA CompliancePC Skills in Windows Environment

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 ResolutionTimely Filing GuidelinesRemittance AdvicesElectronic Billing ReportsDocumenting NotesDenial ManagementAdjustments ProcessingPatient Demographic UpdatesProject Initiation

Soft Skills

Professional CommunicationIndependent WorkCollaboration

Tools & Technologies

Client Practice Management SystemMicrosoft WordMicrosoft Excel

Industry Keywords

Healthcare BillingCustomer ServiceThird-Party PayersDenial Trends MonitoringSpecial Projects

About the role

Key responsibilities & impact

Perform billing processes, follow-up, account resolution, adjustments and scanning
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 submit appeals for non-clinical denials
Monitor denial trends and report findings to the supervisor
Bill or rebill claims as necessary
Ensure compliance with state and federal billing and HIPAA rules and regulations
Complete assigned special projects within specified time frames
Attend client and third-party payer training sessions and seminars
Document worked accounts in the client practice management system
Make corrections and update patient demographic or insurance information
Resolve or forward address and plan changes
Post adjustments according to procedures or leadership direction
Handle internal and external customer calls professionally
Collaborate with other departments to support departmental and facility goals

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
Extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines, remittance advices and electronic billing reports
Previous experience working with insurance portals
PC skills in a Windows environment
Knowledge and utilization of desktop applications including Word and Excel
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
Flexible benefits package