Patient Access Representative – Notification of Admission

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $35k - $58k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

💰 Grant on 2023-02

Consulting • Digital Services • Public Sector

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• Reviewing daily inpatient and observation admission reports to identify accounts requiring payer notification. • Submitting “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. • Verifying coverage, eligibility, and account information prior to submission to support clean, accurate notifications. • Documenting confirmation numbers, reference numbers, payer responses, and related communications in designated client and Guidehouse systems. • Monitoring pending notifications, follow up on outstanding requests, and resolve issues within required timelines. • Escalating accounts at risk for missed notification deadlines, authorization-related denials, or reimbursement impact. • Collaborating with Utilization Review, Case Management, and other operational teams to obtain supporting clinical or account information as needed. • Maintaining current working knowledge of payer-specific notification requirements, client workflows, and standard operating procedures. • Identifying trends contributing to notification delays, defects, or denials and communicate improvement opportunities to leadership. • Supporting quality assurance reviews, reporting activities, training reinforcement, and continuous performance improvement initiatives. • Meeting or exceeding productivity, quality, timeliness, and service level expectations established by Guidehouse and client organizations.

🎯 Requirements

• 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 clear and concisely • Proficiency with Microsoft Office applications, including Excel and Outlook.

🏖️ 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