Guidehouse
10,000+ employees
Founded 2018
🏥 Healthcare
🎖️ Defense
📦 Logistics
💰 Grant on 2023-02
Healthcare • Defense • Logistics
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.
Patient Access Representative – Notification of Admission
🕒 August 5
🇺🇸 United States – Remote
💵 $35k - $58k / year
⏰ Full Time
🟢 Junior
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
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Guidehouse
10,000+ employees
Founded 2018
🏥 Healthcare
🎖️ Defense
📦 Logistics
💰 Grant on 2023-02
Healthcare • Defense • Logistics
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
• Review daily inpatient and observation admission reports to identify accounts requiring payer notification • Submit Notification of Admission requests to commercial, Medicare Advantage, Medicaid Managed Care, and other third-party payers • Verify coverage, eligibility, and account information before submission • Document confirmation numbers, reference numbers, payer responses, and communications in designated systems • Monitor pending notifications, follow up on outstanding requests, and resolve issues within required timelines • Escalate accounts at risk for missed notification deadlines, authorization-related denials, or reimbursement impact • Collaborate with Utilization Review, Case Management, and other operational teams to obtain supporting information • Maintain current knowledge of payer-specific notification requirements, client workflows, and standard operating procedures • Identify trends contributing to notification delays, defects, or denials and communicate improvement opportunities to leadership • Support quality assurance reviews, reporting, training reinforcement, and continuous performance improvement initiatives • Meet or exceed productivity, quality, timeliness, and service level expectations
🎯 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 clearly and concisely • Proficiency with Microsoft Office applications, including Excel and Outlook • Experience performing Notification of Admission, prior authorization, utilization management support, or payer notification activities • Experience working in hospital electronic medical record systems, including Epic and/or Meditech • Experience supporting healthcare managed services, revenue cycle operations, patient access, insurance verification, or authorization services • Knowledge of denial prevention, payer escalation, notification compliance, and standard work discipline • Experience working independently and maintaining productivity in a hybrid or remote work environment • Associate degree or higher in Healthcare Administration, Business Administration, or a related field is nice to have
🏖️ Benefits
• Competitive compensation • Flexible benefits package • Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time • Company Paid Holidays • Discretionary variable incentive bonus may be available • Parental Leave • 401(k) Retirement Plan • Basic Life & Supplemental Life Insurance • 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
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