Patient Account Representative – Physician Claims

Guidehouse

. Perform billing processes, follow-up, account resolution, adjustments and scanning .

Posted 11/9/2026full-timeUnited StatesMid-LevelSenior💰 $34,000 - $56,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in billing processes, accounts receivable follow-up, and compliance with state and federal regulations, including HIPAA. Proficient in utilizing insurance portals and practice management systems to resolve account discrepancies and maintain accurate patient information.

Highest-signal resume keywords

Billing ProcessesAccounts Receivable Follow-UpCMS-1500 ClaimsInsurance Portals ExperienceHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

BillingAccount ResolutionTimely Filing GuidelinesRemittance AdvicesElectronic Billing ReportsProject InitiationData EntryAdjustments PostingDenial ManagementCustomer Service

Soft Skills

Independent WorkProfessional CommunicationAttention to DetailProblem SolvingTime Management

Tools & Technologies

Windows EnvironmentWordExcelPractice Management SystemPayer Websites

Industry Keywords

HealthcareInsuranceBilling RegulationsFederal RegulationsState Regulations

About the role

Key responsibilities & impact

Perform billing processes, follow-up, account resolution, adjustments and scanning
Work with other departments to meet departmental and facility goals and objectives
Contact third-party payers and guarantors via payer websites or phone to resolve account balances
Work correspondence within 24 hours and document correspondence in the client’s system
Work denials, submit appeals for non-clinical denials, and monitor denial trends
Bill or re-bill claims as necessary
Complete assigned special projects within specified time frames
Attend client and third-party payer training sessions and seminars
Document each account worked in the client practice management system
Make corrections in the client practice management system
Resolve or forward address and plan changes to maintain insurance master integrity
Update patient accounts with corrected demographic or insurance information
Post adjustments according to standard operating procedures or leadership direction
Handle internal and external customer calls professionally and courteously
Keep management informed of payment and payer-related issue patterns

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
Previous experience working in insurance portals
PC skills in a Windows environment are required
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 billing, accounts receivable follow-up, timely filing guidelines, remittance advices and electronic billing reports
Knowledge of CMS-1500 claims
Must follow state and federal billing and HIPAA rules 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
Flexible benefits package