Patient Account Representative – Diagnostic Scheduling Authorizations

Job Family : Patient Account Representative Travel Required : None Clearance Required : None This role is 100% onsite in San Antonio, TX. Candidates must live within 50 miles of the office.

What You Will Do

• The Patient Account Representative obtains payer authorizations for scheduled diagnostic services.
• The role verifies authorization requirements, submits complete requests, follows pending cases through determination, and communicates issues that could delay service or create authorization-related denials.
• Diagnostic scheduling authorization is the current and primary assignment.
• Based on future business or client needs, the role may transition to post-bill insurance A/R follow-up or another revenue cycle function; no transition date or future assignment has been established.
• What You Will Need : High School Diploma or GED or 3+ years of relevant experience in lieu of the education 1-3 years of experience in healthcare revenue cycle, patient access, insurance verification, prior authorization, diagnostic scheduling, or a related healthcare operation.
• Experience obtaining authorizations for imaging, diagnostic, outpatient, or procedural services.
• Working knowledge of insurance eligibility, benefits, and authorization processes for government and commercial payers, including Medicaid, Medicare Advantage, Veterans Affairs (VA), workers' compensation, managed care organizations (HMO/PPO), and commercial carriers.
• Strong written and verbal communication skills, with the ability to accurately document payer interactions, account activity, follow-up efforts, and resolution outcomes.
• Strong attention to detail, organization, time management, and accountability.
• Ability to interpret payer guidelines and use payer portals, authorization tools, electronic health records, and work queues.
• Ability to work independently while meeting established productivity, quality, accuracy, and turnaround-time expectations.
• What Would Be Nice To Have : Experience using Epic, Meditech, or another electronic health record, payer portals, and scheduling or authorization workqueues.
• Knowledge of medical necessity requirements and authorization-related denial prevention.
• Experience with insurance A/R follow-up or other revenue cycle functions is helpful for potential future reassignment but is not required for the current role. #IndeedSponsored #LI-DNI 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.
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