Advanced Reimbursement Analyst – Healthcare Claims A/R

Guidehouse

. Identify, document and collect managed care, Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients .

Posted 10/18/2026full-timeUnited StatesJunior💰 $38,000 - $64,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Medicare/Medicaid claims and underpayments, ensuring compliance with contract terms while maintaining confidentiality. Proficient in healthcare billing and collections, with strong negotiation skills to maximize patient account collections.

Highest-signal resume keywords

Medicare/Medicaid Claims ProcessingHealthcare Billing/CollectionsContract ReconciliationPersuasive NegotiationConfidentiality Maintenance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingAccount ReconciliationBilling ProceduresUnderpayment IdentificationDocumentation Management

Soft Skills

Persuasive NegotiationAttention to DetailEffective Communication

Tools & Technologies

CernerEpicMeditech

Industry Keywords

Managed CareCommercial PayorsPatient AccountsHealthcare OperationsRegulatory Compliance

About the role

Key responsibilities & impact

Identify, document and collect managed care, Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients
Collect on identified underpayments
Document any activity that affects account
Reconcile accounts based on contract terms
Work with the contract department on pricing issues
Review Medicare/Medicaid and managed care payments to verify consistency with corresponding contract payment terms
Keep current on Medicare/Medicaid payment changes
Maintain accurate, timely and thorough documentation regarding underpayments
Bill payors for additional payment
Perform timely and effective collection efforts
Maintain departmental databases
Produce periodic status reports
Assist departmental staff with assigned tasks
Maintain confidentiality of company, client and patient information
Maximize collection of patient accounts and perform responsibilities consistent with client instructions

Requirements

What you’ll need

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
1-3+ year's experience in office, business, operations, customer service or healthcare field
Experience working with Medicare/Medicaid claims as well as Commercial Payors
Experience in healthcare billing/collections or claims processing in a hospital environment
Experience with hospital systems such as Cerner, Epic or Meditech preferred
Persuasive negotiator
Maintain confidentiality of company, client and patient information
Perform all activities within the limitations of applicable laws and 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
Hybrid schedule: two days in the Lewisville, TX office or El Segundo, CA office and three days from home