Guidehouse
PatientAccountRepresentative
Neural analysis suggests this role is
optimal for Entry candidates.
“Patient Account Representative at Guidehouse. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. assists in overseeing the daily operations of assigned project(s). providing support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company”
What You'll Achieve.
meeting or exceeding the operational goals of our clients and Company; Ensure projects and duties are completed within specified deadlines
Industry & Context.
Review, submit, and maintain tracking of payer escalations claims; Assist with monthly denial review and help lead the denial committee, which will present denials and trends to key client contacts
8 hour shift between 8: 00 AM - 5: 00 PM PT CT
What They're Looking For.
Must Have
High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED, 0-2+ year's experience within an office, business, operations, customer service or healthcare field
Nice to Have
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, Billing / Collections experience
What You'll Do.
assists in overseeing the daily operations of assigned project(s)
providing support in developing
and meeting or exceeding the operational goals of our clients and Company
work closely with their team
and the client to work on opportunities with new and emerging approaches to our clients’ business processes
follow and ensure that client and company policies and procedures are followed
perform all job-related duties as assigned
and maintain tracking of payer escalations claims
Meet with payer escalation representatives monthly (or as required) to review outstanding escalations and identified payer trends & issues
Assist with monthly denial review and help lead the denial committee
which will present denials and trends to key client contacts
Assist in answering front-line team member questions
Develop job aides and SOPs and provide subsequent support and training
Aid in basic report generation or review where required
Ensure projects and duties are completed within specified deadlines
Assume additional duties and responsibilities or special projects based on client and/or business needs
Be flexible and adapt quickly to change
embracing new processes and technologies in a positive manner as client or business needs shift.
All job-related duties as assigned
How You'll Work.
Team & Collaboration
work closely with their team, project supervisors, operations managers, and the client
Communication Scope
Assist in answering front-line team member questions; Develop job aides and SOPs and provide subsequent support and training
Process & Methodology
process management, cross-functional coordination, resource planning
Full Job Description
**_Job Family_ :** Patient Account Representative ** _Travel Required_ :** None ** _Clearance Required_ :** None ** _What You Will Do_ :** The PAR assists in overseeing the daily operations of assigned project(s). This position is responsible for providing support in developing, implementing, managing, and meeting or exceeding the operational goals of our clients and Company. The PAR will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes. This position will follow and ensure that client and company policies and procedures are followed and will also perform all job-related duties as assigned. _**This position offers an attractive hybrid schedule working two days in our Mitchell, SD office and three days virtually from home. 8 hour shift between 8:00 AM - 5:00 PM PT CT.**_ * Review, submit, and maintain tracking of payer escalations claims. * Meet with payer escalation representatives monthly (or as required) to review outstanding escalations and identified payer trends & issues. * Assist with monthly denial review and help lead the denial committee, which will present denials and trends to key client contacts. * Assist in answering front-line team member questions. * Develop job aides and SOPs and provide subsequent support and training. * Aid in basic report generation or review where required. * Ensure projects and duties are completed within specified deadlines. * Assume additional duties and responsibilities or special projects based on client and/or business needs. * Be flexible and adapt quickly to change, embracing new processes and technologies in a positive manner as client or business needs shift. * All job-related duties as assigned ** _What You Will Need_ :** * High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED. * 0-2+ year's experience within an office, business, operations
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