Patient Account Representative – A/R Follow Up Team

Guidehouse

. Resolve unpaid patient accounts through claim editing, billing, follow-up, and payment and adjustment processing .

Posted 10/28/2026full-timeRemote • United StatesJunior💰 $31,000 - $51,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in resolving unpaid patient accounts through effective claim editing, billing, and follow-up processes while maintaining compliance with federal and state regulations. Proficient in utilizing EHR and EMR systems to enhance claim resolution efficiency and accuracy.

Highest-signal resume keywords

Revenue Cycle ManagementMedical Insurance Claims Follow-UpEHR and EMR Systems ExperiencePayer Portal KnowledgeBilingual Spanish

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Claim EditingBillingPayment ProcessingAdjustment ProcessingClaims AnalysisTrend IdentificationA/R Goals AchievementHealthcare Customer ServiceWindows PC SkillsMicrosoft Word and Excel

Soft Skills

CommunicationProblem-SolvingIndependenceProject Initiation

Tools & Technologies

MeditechEpicPayer WebsitesClearinghouses

Industry Keywords

HealthcareRevenue CycleBilling RegulationsClaim ResolutionThird-Party Payers

About the role

Key responsibilities & impact

Resolve unpaid patient accounts through claim editing, billing, follow-up, and payment and adjustment processing
Receive incoming calls and make outbound calls
Analyze and research reasons for denied and underpaid claims
Determine and execute the best approach for claim resolution
Identify issues and trends and report to the manager
Maintain confidential system and payer website access
Follow QBS account management protocols and strategies
Maintain current knowledge of relevant systems, federal and state billing regulations, and contract terms related to claim resolution
Correspond with third-party payers to obtain claim status and payment
Communicate with clients as needed to expedite claim resolution
Perform assigned job-related duties professionally to achieve cash and A/R goals

Requirements

What you’ll need

High School Diploma or GED or 3+ years of relevant equivalent experience in lieu of diploma / GED.
1-3+ years working within revenue cycle, health insurance, or healthcare customer service
Working knowledge of medical insurance claims follow-ups, payer portals, and clearinghouses
Working experience with an EHR and EMR systems
Meditech Experience (nice to have)
Epic Experience (nice to have)
PC skills in a Windows environment; knowledge and utilization of Word and Excel (nice to have)
Bilingual Spanish (nice to have)
1+ year experience working in a Healthcare or Customer Service setting (nice to have)
Ability to initiate and follow through on projects and work independently with minimal supervision (nice to have)
Travel required: None
Clearance required: None

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 (100% remote)