Description

Primary duties include performing insurance notification, verification, and authorization to financially secure patient accounts for inpatient, ambulatory surgery, and outpatient admissions. Work is prioritized according to financial risk and managed through the HQ work list. The representative coordinates with referring physicians, clinical staff, and insurers to ensure scheduled accounts are secured before admission and unscheduled accounts within 24 hours after admission.

The incumbent explains financial requirements to patients or responsible parties, collects deposits and deductibles, and aggressively explores alternatives (e.g., contacting physician offices, referencing past visits, reaching patients) when account issues arise. All actions are documented in the system according to established standards, and any account that remains insecure before admission is reported to Patient Access management and registration staff. Courteous, caring behavior is measured by maintaining a low complaint rate (no more than two complaints per year).

• Perform insurance notification, verification, and authorization to secure patient accounts.
• Prioritize tasks based on financial risk and complete work for inpatient, ambulatory surgery, and outpatient admissions.
• Coordinate with physicians, clinical staff, and insurers to ensure accounts are secured before admission or within 24 hours after admission.
• Explain financial requirements to patients or responsible parties and collect required deposits and deductibles.
• Investigate and resolve account issues by contacting physician offices, referencing past visits, or reaching out to patients.
• Document all account activities in the system following established standards.
• Notify Patient Access management and registration staff when an account is not secure prior to admission.
• Maintain courteous, caring interactions to keep patient complaints below two per year.

Requirements

Qualifications include a high school diploma or equivalent and either 1‑3 years of experience in patient access, insurance, or pre‑certification, or 3 years of related hospital experience. Desired skills are a typing speed of at least 35 WPM, familiarity with medical terminology, and optional CPAR or CHAA certification.

• Meet the requirement of a minimum 35 WPM typing speed and knowledge of medical terminology.
• Possess a high school diploma and 1‑3 years of patient access or 3 years of hospital experience.

Benefits

The salary range for this position is $38,000‑$64,000, with compensation adjusted for skill set, experience, and other factors. Guidehouse offers a comprehensive total‑rewards package that includes medical, dental, vision, and prescription coverage, paid sick time and holidays, a discretionary incentive bonus, parental leave, 401(k) retirement plan, life insurance, health‑savings and flexible‑spending accounts, short‑ and long‑term disability, tuition reimbursement, professional development opportunities, an employee referral program, corporate events, and emergency backup childcare.

• Receive a salary between $38,000 and $64,000 with eligibility for a variable incentive bonus.
• Benefit from comprehensive health, retirement, paid time off, tuition reimbursement, and employee development programs.

Training + Development

Interview process

Visa Sponsorship

Security clearance