Patient Account Representative - Medicaid Redetermination
What You Will Do
The Patient Account Representative – Medicaid Redetermination is an extension of a client’s business office staff. The Medicaid Redetermination Specialist is responsible for supporting constituent Medicaid members through the redetermination (renewal) process to ensure continuity of healthcare coverage. This role involves outbound and inbound call support, eligibility guidance, documentation assistance, and accurate account updates in compliance with state and client guidelines. This is a hybrid position based out of our Lewisville, TX office (open to San Antonio), with in-office work required on Tuesdays and Wednesdays and remote work from home on the remaining days. Individuals must be able to work an eight-hour shift between the hours of 8:00 AM CT – 5:30 PM CT. Outbound calling emphasis
- Account Review
- Customer Service
- Account Updates
Strong Verbal / Written Communication Skills
- Complete all business-related requests and correspondence from patients.
- Complete all assigned projects in a timely manner.
- Aid 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.
What You Will Need
- A High School Diploma / GED OR 3 years of relevant equivalent experience in lieu of education
- 0-2+ years working within the following sectors: healthcare, insurance, business, finance or customer service
- Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service-related responsibilities
What Would Be Nice To Have
- Being Bilingual (comfortable working in both English and Spanish)
- PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
- 1+ year experience working in a Healthcare or Customer Service setting
- Ability to initiate and follow through on projects and work independently with minimal supervision required
About the Role
This is a hybrid position based out of our Lewisville, TX office (open to San Antonio), with in-office work required on Tuesdays and Wednesdays and remote work from home on the remaining days. Individuals must be able to work an eight-hour shift between the hours of 8:00 AM CT – 5:30 PM CT. Outbound calling emphasis
Responsibilities
- Account Review
- Customer Service
- Account Updates
Requirements
- A High School Diploma / GED OR 3 years of relevant equivalent experience in lieu of education
- 0-2+ years working within the following sectors: healthcare, insurance, business, finance or customer service
- Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service-related responsibilities
Qualifications
- Being Bilingual (comfortable working in both English and Spanish)
- PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
- 1+ year experience working in a Healthcare or Customer Service setting
- Ability to initiate and follow through on projects and work independently with minimal supervision required
Skills
- Strong Verbal / Written Communication Skills
Benefits
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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare Program
About the Company
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.