Patient Account Representative - Medicare, Medicaid, Commercial Claims
Guidehouse
Job Family Patient Account Representative Travel Required None Clearance Required None What You Will Do The Insurance Patient Account Representative is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned. This position will be on a hybrid schedule working two days in either the Lewisville, TX or San Antonio, TX offices and three days from home. Essential Job Functions Account Review Appeals & Denials Medicare/Medicaid Insurance Follow-up Customer Service Billing
UB-04 & CMS 1500
Complete all business-related requests and correspondence from patients and insurance companies. Responsible for working on 40-70 Accounts Per Day Complete all assigned projects in a timely manner. Assist client and patients in all requested tasks. Communicate to Guidehouse management areas of concern or areas of improvement. Update patient demographic information and initiate account adjustments. Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections. 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 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 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 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 #J-18808-Ljbffr Guidehouse- ...position in San Antonio, Texas focused on supervising a claims processing unit. Candidates must have at least five years... ...Excel, and PowerPoint is required along with knowledge of Medicaid, Medicare, and Commercial claims. This position provides an opportunity to enhance...CommercialClaims
$50k
...activities on outstanding insurance medical claims for Medicare, Medicaid, Commercial and Specialty insurance/program... ..., write‑offs, and determine if patient billing is necessary.... ...Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings...CommercialClaimsBank staffWork at officeFlexible hours- ...is seeking a dedicated individual to manage follow-up activities on medical insurance claims. The candidate will analyze and resolve claim issues for Medicare, Medicaid, and commercial insurance payors. Candidates should have at least three years of hospital billing...CommercialClaims
- ...Specialist responsible for managing all aspects of medical billing. The role includes ensuring accurate submission of claims and compliance with Medicare and Medicaid guidelines. Candidates should have 1-3 years of medical billing experience, ideally in home health care,...Claims
- ...accurate and timely submission of claims, works to resolve outstanding balances... .... Review plan guidelines against patient accounts to address claim processing delays... ...guarantors Review adjudicated claims from Medicare, Medicaid, and commercial carriers for appropriate billing....CommercialClaims
- ...Supervises, assists, and directs the activities of the assigned claims processing unit and the assigned staff. Responds to... ...One to two (1-2) years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years’...CommercialClaimsFull time
- ...-quality care to our patients. Our team values accuracy... ...submission of claims, timely reimbursement... ...and compliance with Medicare, Medicaid, and private insurance... ...Texas Medicaid), and commercial insurers. Verify patient... ...Follow up on outstanding accounts receivable and ensure...CommercialClaimsWork at office
- ...required. Key Responsibilities Submit and manage claims for Medicare, Medicaid, managed care, and commercial payers Verify eligibility, review documentation,... ...and ensure billing accuracy and compliance Monitor accounts receivable, follow up on unpaid claims, and...CommercialClaimsWork experience placementImmediate startMonday to FridayShift work
- Medical Billing and Accounts Receivable Specialist The position... ...processes, resolution of claims, and timely collection of... ...from insurance carriers and patients. The role requires a high... ...regulations, including Medicare, Medicaid, and commercial insurance. Exceptional attention...CommercialClaimsWork at officeRemote workWeekday work
- ...collaborates cross-functionally with Patient Business Services, Revenue... ...healthcare data including claims, clinical records, and EHR data... ...Strong working knowledge of Medicare Advantage, Medicaid (including Texas programs), and commercial exchange products. Strong...CommercialClaimsFull timeContract work
- ...Account Representative-Insurance Collections Specialist... ...optimum maintenance of patient accounts,... ...office, insurance claims processing, physician... ...billing, Medicaid appeals and denials and commercial appeals Identifies... ...Addresses letters from Medicare, works with...CommercialFull timeContract workWork at officeLocal areaShift work
$18 - $20 per hour
...to support insurance accounts receivable... ...is responsible for claim follow-up, denial resolution... ...supporting a positive patient and payer experience... ...reimbursement. Follow up with commercial, PPO, Medicaid, and other payers to... ..., and payer representatives to resolve claim...CommercialClaimsFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hours2 days per week- **Job Family:**Patient Account Representative, PFS Billing, PFS General**Travel Required:**... ...the following: health insurance claims, medical billing, medical... ...agreements.* Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance* PC skills in a Windows...CommercialClaimsTemporary workWork at officeRemote workRelocationFlexible hoursShift work
- ...20 years of experience in the insurance claims industry. We pride ourselves on our... ...role. As a Public Adjuster, you will represent policyholders throughout the insurance... ...Collaboratively solicit residential and commercial new claims and referral partners Sign...CommercialClaimsFor contractorsWork at office
- ...appointment scheduling, medical records, patient registration, insurance verification,... ...supervisor for clarification or discussion of account and/or payment terms. Operation and... ...and location information, obtain commercial authorizations and checking on status of...CommercialHourly payWork at officeRotating shift
- ...The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative... ...communication. Billing Review and work on claim edits. Works payor rejected claims for resubmission...ClaimsFull timeWork at office
$42k - $50k
...agency in San Antonio is seeking an Entry-Level Insurance Account Manager to support commercial accounts. This role involves managing client relationships, processing renewals, and providing guidance during claims. Candidates should have 1-2 years of customer service...CommercialClaims- ...the legal industry, specifically handling pre‑litigation or commercial personal injury cases. Bilingual skills required.... ...Assist clients with rental car accommodations Communicate with claims representatives Coordinate case activities with attorney staff Qualifications...CommercialClaimsFull timeWork at officeMonday to Friday
- ...insurance solutions provider in San Antonio, Texas is looking for a Liability Claims Manager to lead a branch-based claims team. The role requires over 10 years of claims experience, including commercial general liability and multi-jurisdiction handling. As the manager, you...CommercialClaimsWork at office
$21 per hour
...Billing & Insurance Accounts Receivable Specialist... ...insurance plans (Medicare Part B and C, Medicaid and associated advantage... ...Tricare, etc.) and commercial insurance plans (PPO... ...group Follow up on claim denials from all... ...address inquiries from patients and clinic staff Use...CommercialClaimsHourly payTemporary workFor contractorsCasual workWork at officeLocal areaMonday to Friday$115k - $140k
...written discovery Draft and argue motions Attend hearings, depositions, mediations, and trial Defend large commercial policies and transportation‑related claims Handle matters involving commercial vehicle regulations, including FMCSA compliance Qualifications: Active member...CommercialClaimsMonday to Friday$5,000 per month
...and coordinate all service activities for commercial lines clients $5,000 in revenue and... ...assigned book of business. Responsibilities Accountable for the client relationship, account... ...summaries of insurance. Assist clients with claims reporting. Adhere to company’s credit...CommercialClaimsWork at office- ...insurance programs. Responsibilities include risk assessment, managing claims, and ensuring compliance with insurance regulations. The ideal... ...and over 10 years of experience in risk management within commercial construction, with key skills in analytics and communication....CommercialClaimsFor contractors
- ...The Remote Bilingual (Spanish and English) Customer Service Account Representative must possess at least ONE YEAR of relevant industry experience... ...completeness in policy servicing, billing, endorsements, claims support, etc. Proactively identify retention risks or coverage...ClaimsRemote jobWork from homeMonday to Friday
- ...LLC, located in San Antonio, TX, seeks a Risk Management Director to oversee insurance programs, manage risk, and lead claims management for commercial construction projects. The ideal candidate will have a Bachelor's degree and 10+ years in risk management,...CommercialClaimsFull timeFor contractorsWork at office
- ...professional and facility services claims, ensuring all billing... ..., you will work closely with patients, insurance companies, and healthcare... ...received and reconcile accounts. Denials Management: Investigate... ...with both governmental and commercial insurance plans, understanding...CommercialClaimsRemote jobWork at office
- ...national distributor of residential and light commercial HVAC products, is seeking a dynamic... ...invoices, returns, and warranty claims. This role may require occasional travel... ...~ Health Insurance ~ Health Savings Account ~ Dental Insurance ~ Vision Insurance...CommercialClaimsFull timeTemporary workPart timeFor contractors
$55k - $65k
...focused on simplifying insurance claims processing for healthcare... ...focus on what matters most: patient care. In April 2026,... ...Property & Casualty (P&C), Commercial, and Government healthcare.... ...driving results and taking accountability for the success of our projects...CommercialClaimsWork at officeLocal area- ...analysis in complex litigation matters, particularly business and commercial disputes. Offer strategic input on case development, motion... ...declaratory judgment actions, including initiating and defending such claims in state and federal courts. Declaratory Actions Handle...CommercialClaimsContract work
- Sedgwick is seeking a Claims Examiner for Auto and Commercial Trucking in San Antonio, Texas. The successful candidate will analyze and process complex claims and ensure proper documentation and investigations. This role requires a Bachelor's degree (preferred), five years...CommercialClaimsRemote jobFlexible hours
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