Patient Account Representative – Medicare, Medicaid, Commercial Claims

Guidehouse

. Take incoming and make outgoing calls to patients and insurance companies to resolve account balances .

Posted 10/26/2026full-timeUnited StatesMid-LevelSenior💰 $34,000 - $56,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient account management, including billing, appeals, and denials, while effectively communicating with patients and insurance companies. Proficient in utilizing desktop applications and managing multiple accounts efficiently.

Highest-signal resume keywords

Patient Account ManagementBilling and Insurance Follow-UpCustomer ServiceMicrosoft Word and ExcelInsurance Portal Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Account ReviewAppeals and Denials ManagementMedicare/Medicaid KnowledgeUB-04 and CMS 1500 FormsProject Initiation and Follow-Through

Soft Skills

CommunicationIndependent WorkProblem-Solving

Tools & Technologies

Windows EnvironmentDesktop Applications

Industry Keywords

HealthcareCustomer ServiceInsurance

About the role

Key responsibilities & impact

Take incoming and make outgoing calls to patients and insurance companies to resolve account balances
Follow all client policies and procedures
Review accounts, appeals and denials, Medicare/Medicaid, insurance follow-up, customer service, billing, UB-04 and CMS 1500
Complete business-related requests and correspondence from patients and insurance companies
Work on 40–70 accounts per day
Complete assigned projects in a timely manner
Assist clients and patients with requested tasks
Communicate areas of concern or improvement to Guidehouse management
Research and respond to patient inquiries by telephone and mail
Update patient demographic information and initiate account adjustments
Resolve account balances to zero before accounts are forwarded to an outside collections agency

Requirements

What you’ll need

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
0-2+ years' experience in office, business, operations, customer service or healthcare field
Previous experience working in insurance portals is desirable
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
Discretionary variable incentive bonus may be available
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: two days in the Lewisville, TX office or El Segundo, CA office and three days from home