Patient Account Representative - Medicaid Redetermination

Job Family:

Patient Account Representative

Travel Required:

None

Clearance Required:

None

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.

• 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.

What You Will Need:

• 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

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 include:

• 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

About Guidehouse

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.

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