Patient Access Representative - Notification of Admission

Overview The Patient Access Representative – Notification of Admission Specialist supports Guidehouse’s healthcare revenue cycle operations by completing accurate, timely payer notifications for inpatient and observation admissions. This role helps protect reimbursement, reduce avoidable authorization and notification-related denials, and support consistent performance across client revenue cycle operations. The position works in a 100% remote environment. Responsibilities Review daily inpatient and observation admission reports to identify accounts requiring payer notification. Submit “Notification of Admission” requests to commercial, Medicare Advantage, Medicaid Managed Care, and other third‑party payers in accordance with payer, regulatory, contractual, and client‑specific requirements. Verify coverage, eligibility, and account information prior to submission to support clean, accurate notifications. Document confirmation numbers, reference numbers, payer responses, and related communications in designated client and Guidehouse systems. Monitor pending notifications, follow up on outstanding requests, and resolve issues within required timelines. Escalate accounts at risk for missed notification deadlines, authorization‑related denials, or reimbursement impact. Collaborate with Utilization Review, Case Management, and other operational teams to obtain supporting clinical or account information as needed. Maintain current working knowledge of payer‑specific notification requirements, client workflows, and standard operating procedures. Identify trends contributing to notification delays, defects, or denials and communicate improvement opportunities to leadership. Support quality assurance reviews, reporting activities, training reinforcement, and continuous performance improvement initiatives. Meet or exceed productivity, quality, timeliness, and service level expectations established by Guidehouse and client organizations. Required Qualifications High School Diploma or GED OR 3 years of relevant equivalent experience in lieu of education. 1+ years of experience in healthcare revenue cycle, patient access, insurance verification, authorization, utilization review support, or related healthcare operations. Working knowledge of commercial, Medicare, Medicaid, and managed care payer requirements. Working knowledge of hospital inpatient and observation workflows. Professional experience documenting payer interactions and account activities clearly and concisely. Proficiency with Microsoft Office applications, including Excel and Outlook. Nice To Have Qualifications Experience performing Notification of Admission, prior authorization, utilization management support, or payer notification activities. Experience working in hospital electronic medical record systems, including Epic and/or Meditech. Experience supporting healthcare managed services, revenue cycle operations, patient access, insurance verification, or authorization services. Knowledge of denial prevention, payer escalation, notification compliance, and standard work discipline. Experience working independently and maintaining productivity in a hybrid or remote work environment (specifically a healthcare services environment). Associate degree or higher in Healthcare Administration, Business Administration, or a related field. Salary The annual salary range for this position is $35,000.00-$58,000.00. 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 Equal Opportunity Employer Statement 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. Accommodations 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 View phone number on click.appcast.io or via email at View email address on click.appcast.io. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. #J-18808-Ljbffr US104 Guidehouse Managed Services LLC