Claims Specialist – Billing, Patient Account Representative

Guidehouse

. Prepare billing data for payer billing .

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

Core Competencies

Role fit

Core Competencies

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

Demonstrates proficiency in billing data preparation, compliance with contractual provisions, and effective record-keeping. Capable of utilizing desktop applications and managing administrative procedures while maintaining confidentiality and optimizing processes.

Highest-signal resume keywords

Billing Data PreparationInsurance Portal ExperiencePC Skills in Windows EnvironmentKnowledge of Word and ExcelBasic Math Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Billing Data PreparationInvoice SubmissionPayment ApplicationClaims CollectionGeneral Ledger ReconciliationData EntryProcess ImprovementAdministrative ProceduresClerical ProceduresRecord Keeping

Soft Skills

CollaborationIndependent WorkProject InitiationAttention to DetailConfidentiality

Tools & Technologies

Windows EnvironmentMicrosoft WordMicrosoft Excel

Industry Keywords

HealthcareBilling ComplianceContractual ProvisionsAudit StandardsCustomer Service

About the role

Key responsibilities & impact

Prepare billing data for payer billing
Comply with contractual provisions regarding billing and encounter-data submission, including monthly reports
Submit invoices to appropriate parties
Apply payments
Collect on unpaid claims
Prepare advance reconciliations and apply payments to the general ledger
Enter information into computer databases for effective record keeping
Collaborate with staff members to optimize service delivery
Ensure compliance standards are met for audit purposes
Maintain confidentiality of client records
Identify opportunities to improve processes
Perform 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
1-3+ year's experience in office, business, operations, customer service or healthcare field
Previous experience working in insurance portals
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
Flexible benefits package