Lewisville, Texas, United States · Hybrid
Job Family: Patient Account Representative Travel Required: None Clearance Required: None What You Will Do: The Patient Account Representative (PAR) is expected to perform specific billing processes, follow-up, account r…
Skills: Medical Billing, Accounts Receivable Follow-up, Claims Resolution, Denial Management, HIPAA Compliance
Huntsville, Alabama, United States · On-site
Job Family: Capital Projects & Infrastructure Consulting Travel Required: Up to 10% Clearance Required: Active Top Secret (TS) What You Will Do: The purpose of this position is to provide Program Management from low to h…
Skills: Program Management, Construction Project Management, Budget Execution, PMO Process, Financial Analysis
McLean, Virginia, United States · On-site
Job Family: Strategy & Transformation Travel Required: Up to 10% Clearance Required: Active Top Secret SCI with Polygraph What You Will Do: This individual will work collaboratively across multiple Defense and Intelligen…
Skills: Business analytics, Organizational leadership, Strategy, Organizational transformation, Tactical execution
Tysons, Virginia, United States · Remote OK
$270k–$450k/yr
Job Family: Finance & Accounting Consulting Travel Required: Up to 50% Clearance Required: Active Secret What You Will Do: Guidehouse is seeking a strategic executive to support our Defense & Security Sector's Department…
Skills: Financial management, Accounting, Audit readiness, Budgeting, Data analysis
Washington, District of Columbia, United States · On-site
$113k–$188k/yr
Job Family: Operational Effectiveness Consulting Travel Required: Up to 10% Clearance Required: Active Secret What You Will Do: In this role, you’ll play a key part in coordinating delivery across a complex enterprise da…
Skills: Agile delivery, Project coordination, Data analytics, AI platform management, Stakeholder management
Beltsville, Maryland, United States · On-site
$113k–$188k/yr
Job Family: IT Cyber Security Travel Required: Up to 10% Clearance Required: Active Secret What You Will Do: The Pentest Operator will support and lead pentesting engagements on High Value Asset (HVA) systems and enterpr…
Skills: Penetration testing, Red team operations, Adversary emulation, Vulnerability assessment, Active Directory assessment
Birmingham, Alabama, United States · On-site
Job Family: Patient Account Representative Travel Required: None Clearance Required: None What You Will Do: Account review Denials Insurance Follow up Billing Complete all business-related request an correspondence from …
Skills: Account review, Denials management, Insurance follow up, Billing, Correspondence
Arlington, Virginia, United States · On-site
Job Family: Management Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Secret What You Will Do: The Archibus SME will serve as a trusted advisor to a federal client, providing expert guidance …
Skills: Archibus, IWMS, Facilities management, Real property management, Asset management
Vilnius, Vilnius County, Lithuania · On-site
$22k–$36k/yr
Job Family: Investigator Travel Required: None Clearance Required: None What You Will Do: Assess and document regulatory risk based on a variety of risk factors Gather and analyse data Review transactions and open-source…
Skills: Financial crime, AML, Fraud detection, Transaction monitoring, Regulatory risk assessment
Vilnius, Vilnius County, Lithuania · On-site
$18k–$30k/yr
Job Family: Investigator Travel Required: None Clearance Required: None What You Will Do: Perform regular periodic reviews of financial crime compliance functions including but not limited to KYC, Sanctions, Fraud and Tr…
Skills: Fraud investigations, Compliance, AML, CTF, KYC
Chennai, Tamil Nadu, India · On-site
Job Family: SAAS/PAAS/Cloud Application Development (India) Travel Required: None Clearance Required: None What You Will Do: Demonstrable experience and understanding of overall SFDC architecture and platform. Responsibl…
Skills: Salesforce, Apex, Lightning Web Components, JavaScript, Aura Framework
Bethesda, Maryland, United States · On-site
$74k–$124k/yr
Job Family: Nurse Travel Required: None Clearance Required: Ability to Obtain Public Trust What You Will Do: We are currently searching for a skilled Registered Nurse with clinical research experience to fill a Researc…
Skills: Clinical research, Nursing, Protocol coordination, Patient recruitment, Patient education
Washington, District of Columbia, United States · On-site
$113k–$188k/yr
Job Family: SAAS/PAAS/Cloud Consulting Travel Required: Up to 10% Clearance Required: Active Public Trust What You Will Do: Experienced SharePoint technical lead specializing in site administration, system migrations, an…
Skills: Power Platform, SharePoint, Power Automate, Power Apps, Power BI
Washington, District of Columbia, United States · On-site
$74k–$124k/yr
Job Family: Investigator Travel Required: Up to 10% Clearance Required: Active Top Secret (TS) What You Will Do: Guidehouse is looking for Litigation Paralegal Specialist to be a part of our growing litigation and invest…
Skills: Litigation support, Legal research, eDiscovery, Case management, Document review
Arlington, Virginia, United States · On-site
Job Family: Data Science & Analysis Travel Required: None Clearance Required: Ability to Obtain Public Trust What You Will Do: The Fraud Analytics Operations Support Specialist will support fraud analytics operations, re…
Skills: Fraud analytics, Data analysis, Project documentation, Stakeholder coordination, Reporting
McLean, Virginia, United States · On-site
$85k–$141k/yr
Job Family: Testing Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust The Quality Assurance System Tester will support a large-scale agile software development program for the GrantSolutions c…
Skills: Software testing, Test automation, Manual testing, Agile methodology, SDLC
Norfolk, Virginia, United States · On-site
Job Family: Data Engineering & Architecture Consulting Travel Required: Up to 10% Clearance Required: Active Secret What You Will Do: Design, develop, and maintain data pipelines, transformations, and ontologies within t…
Skills: Palantir Foundry, Data engineering, Slate, Workshop, OSDK
Vilnius, Vilnius County, Lithuania · On-site
$18k–$30k/yr
Job Family: Investigator Travel Required: None Clearance Required: None Why join us: Grow in a supportive environment with world-class learning resources, where more than 30% of colleagues are promoted each year Work wit…
Skills: Financial crime prevention, AML, KYC, Transaction monitoring, Sanctions
Arlington, Virginia, United States · On-site
Job Family: Data Science Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: We are seeking a HCM Data & Technology Transformation Director to lead the strategy, gov…
Skills: HCM transformation, Data governance, Systems integration, Data migration, Enterprise architecture
Arlington, Virginia, United States · On-site
Job Family: Strategy & Transformation Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: We are looking for a Strategy and Change Consultant that serves as a liaiso…
Skills: Change management, Strategy consulting, Business analytics, Communications, Stakeholder engagement
Lewisville, Texas, United States • Hybrid
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The Patient Account Representative is responsible for performing billing processes, resolving account balances, and managing claims denials. This includes contacting third-party payers, submitting appeals, and maintaining accurate patient demographic and insurance information.
Requires a High School Diploma or GED, or 3 years of equivalent experience, with 0-2+ years of experience in healthcare, business, or customer service. Proficiency in Windows, Word, and Excel is essential for this role.
Travel Required:
Clearance Required:
The Patient Account Representative (PAR) is expected to perform specific billing processes, follow-up, account resolution, adjustments and scanning as required. This position works with other departments to facilitate the meeting of both departmental facility goals and objectives. This position is responsible for account resolution. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers is essential
This position will be on a hybrid schedule working two days in the Lewisville, TX office and three days from home.
The Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.
Contacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts.
Work all correspondence within 24 hours or receipt. Detail notes regarding correspondence must be entered into the client’s system
Works all denials taking necessary actions to obtain account resolution
Submits appeals, as appropriate, for all non-clinical denials
Monitors all denials for trends and issues and reports findings to supervisor
Bills or re-bills claims as necessary
Ensures the client follows all state and federal rules and regulations both billing and HIPAA
Completes assigned special projects within the time frames given
Attend training sessions and seminars offered by the Client and Third-Party Payers.
Appropriately documents each account worked in client practice management system
Makes necessary corrections in client practice management system.
Resolves or forwards all address and / or plan changes as appropriate to ensure the integrity of the insurance master is maintained
Updates patient accounts with corrected demographic or insurance information
Posts adjustments based on standard operating procedures or as directed by leadership
Handles all customer calls both internal and external in a professional and courteous manner.
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 in office, business, operations, customer service or healthcare field.
What Would Be Nice To Have:
Previous experience working with 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
#IndeedSponsored
#LI-DNI
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
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
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Empowering our clients to meaningfully shape the future.
Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.
Offices: 1676 International Dr, 800, McLean, Virginia 22102, US · 1800 Tysons Blvd, McLean, Virginia 22102, US · 1000 Wilson Blvd, Suite 1400, Arlington, Virginia 22209, US · 111 Congress Ave, Suite 2500, Austin, Texas 78701, US · 125 High St, Suite 401, Boston, Massachusetts 02110, US
Empowering our clients to meaningfully shape the future.
Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.
Offices: 1676 International Dr, 800, McLean, Virginia 22102, US · 1800 Tysons Blvd, McLean, Virginia 22102, US · 1000 Wilson Blvd, Suite 1400, Arlington, Virginia 22209, US · 111 Congress Ave, Suite 2500, Austin, Texas 78701, US · 125 High St, Suite 401, Boston, Massachusetts 02110, US
