Claims Specialist – Billing, Patient Account Representative
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Claims billing specialist preparing healthcare payer billing data, invoices, payments, and reconciliations for Guidehouse. Maintaining compliant patient account records and collecting unpaid claims.
Responsibilities:
- Prepare billing data for payer billing
- Comply with contractual provisions regarding billing and encounter-data submission, including monthly reports
- Submit invoices to appropriate parties
- Apply payments
- Collect on unpaid claims
- Prepare advance reconciliations and apply payments to the general ledger
- Enter information into computer databases for effective record keeping
- Collaborate with staff members to optimize service delivery
- Ensure compliance standards are met for audit purposes
- Maintain confidentiality of client records
- Identify opportunities to improve processes
- Perform other duties as assigned
Requirements:
- High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
- 1-3+ year's experience in office, business, operations, customer service or healthcare field
- 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
- Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
- Able to work with numbers and apply basic math skills to daily tasks
Benefits:
- 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
Similar Jobs
Volunteer Partnerships Coordinator – Event Venues
Volunteer partnerships coordinator recruiting event venues for Go For Climate’s global Live Peace 2026 peace events. Managing follow-ups, onboarding, deadlines, and international venue relationships remotely.
VIP Relationship Manager
VIP Relationship Manager serving high-value clients for Bybit, a global cryptocurrency exchange and digital finance platform. Driving acquisition, loyalty, and client service in Korea.
Sales Account Manager
Red Hat sales account manager growing enterprise open-source software bookings across assigned U.S. state territories. Managing renewals, pipeline, partners, quotas, and customer success.
Client Relationship Manager
Associate Director growing Fitch Learning’s financial services training sales in Dallas. Developing strategic client relationships, leading consultative B2B sales, and driving revenue growth.
Manager, Strategic Partnerships
Strategic partnerships manager overseeing Fiserv, FIS, Visa, and Mastercard relationships for fintech provider Velera. Leading escalations, SLAs, billing recovery, process improvement, and partner teams.
Key Account Manager
Remote Key Account Manager growing Hygiena’s rapid microbiology diagnostics business across US food-safety accounts. Driving strategic sales, customer relationships, pipelines, and key-account growth.
Key Account Manager
Remote Key Account Manager expanding strategic accounts for Bureau Veritas’ quality, compliance, sustainability, and supply chain services. Driving revenue, renewals, cross-selling, and client satisfaction across U.S. markets.
Marketing Account Manager
Marketing Account Manager leading client relationships, retention, renewals, and account growth for SmartBug Media, a HubSpot-focused digital agency. Advocating for clients while coordinating strategy and delivery teams.
Dealer Account Manager – Berlin, Thuringia, Saxony & Saxony-Anhalt
Dealer Account Manager building dealership partnerships for Ford Bank’s automotive financing and insurance products. Delivering training, optimizing sales processes, and coordinating regional marketing.
Vice President, Relationship Manager
Vice President managing advisor relationships and selling TD Asset Management investment strategies. Leading distribution teams and growing business across a TD Private Wealth Management territory.
Account Manager – Footwear
Account Manager growing H.B. Fuller’s footwear adhesives business in Italy. Developing new sales, providing technical support, and negotiating profitable customer relationships.
CAO Commercial Lines Territory Manager
Commercial Lines Territory Manager managing agents, underwriting relationships, and territory profitability for Penn National Insurance. Driving commercial insurance growth, prospecting, agency plans, and underwriting decisions.
Account Manager
Account Manager growing German-speaking manufacturing accounts across DACH. Managing consultative sales, customer relationships, and repeat revenue for Xometry’s digital manufacturing marketplace.
Platform Partnerships Director
Platform Partnerships Director managing DSP, SSP, marketplace, and identity-provider partnerships. Growing revenue and shaping healthcare audience products for Definitive Healthcare’s digital audience business.
Patient Account Representative
Patient Account Representative resolving medical claims, billing, and collections accounts for Conifer Health. Supporting healthcare clients’ financial performance through accurate account research and payer follow-up.
Director of Partnerships
Director of Partnerships at Domaine, the world’s largest independent Shopify design and development partner. Leading Shopify, Klaviyo, and global ecosystem partnerships to drive revenue.
Territory Account Manager – Electrical/Industrial
Territory Account Manager selling Shermco’s electrical testing, maintenance, repair, and engineering services. Managing industrial, data center, hospital, and contractor accounts across the Houston territory.
Senior Account Manager
Senior Account Manager growing EnerSys’ Bren-Tronics defense battery business across Europe. Building strategic accounts and international opportunities with military, government, OEM, and defense customers.
Account Coordinator, Paid Search
Paid Search Account Coordinator executing Google Ads and Microsoft SEM campaigns for DEPT®, a technology and marketing growth company. Analyzing performance, pacing budgets, optimizing bids, and maintaining tracking.
Commercial Sales Account Manager
Commercial HVAC sales manager growing contractor and dealer accounts for Base Solutions, a Bosch-owned distributor. Providing territory sales, application engineering, design support, and customer consultations across Chicagoland and NW Indiana.