Job Description

** Job Family :**

Patient Account Representative

Travel Required :

None

Clearance Required :

None

What You Will Do :

• Help coordinate the delivery of prescriptions from the specialty pharmacy, while following standard practices

• Assist patients with obtaining information about their benefits for home infusion services, and provide financial counseling

• Communicate with patients to gather necessary information for processing prescriptions, refills, and accessing benefits

• Obtain prior authorizations, including initiating requests, expediting responses from insurance companies, and keeping patients and pharmacy staff informed

• Track and report service issues related to authorizations, financial assistance, or other factors that may delay service

• Document case activity, communications, and correspondence in the computer system to maintain accurate patient records

• Input charges into the computer system for billing home infusion services to the payer

• Perform or assist with any necessary operations to maintain workflow and meet business needs

What You Will Need :

• Required Qualifications: High School Diploma or equivalent

• Excellent customer service skills

• Good written and verbal communication skills

• Basic computer skills

What Would be Nice to Have :

• Preferred Qualifications: 1-3 years of related experience or general knowledge of payor-specific or medical specialty billing

• Ability to communicate in a professional and calm manner, using proper grammar and language

• Skilled in facilitating conversations and understanding customer issues and needs

• Ability to work with independence, flexibility, and problem-solving skills

• Ability to handle difficult situations and de-escalate issues

• Knowledge of reimbursement aspects of managed healthcare contracts

• Strong listening skills

• Bilingual skills in English and Spanish preferred

• Exceptional customer service skills, including problem-solving and analyzing skills

• Experience with dialer systems preferred

• Additional Requirements: Must not have any employment restrictions from previous employers that would prevent job responsibilities

• Due to contractual requirements, must be fully COVID-19 vaccinated at the time of hire

What We Offer :

Guidehouse offers a comprehensive total rewards package, which includes competitive compensation and a flexible benefits package. We are committed to creating a diverse and supportive workplace.

Benefits include:

• Medical, Prescription, Dental, and Vision Insurance

• Personal and Family Sick Time, and Company Paid Holidays

• Discretionary variable incentive bonus (may be eligible)

• Parental Leave

• 401(k) Retirement Plan

• Basic Life and Supplemental Life Insurance

• Health Savings Account, Dental/Vision and Dependent Care Flexible Spending Accounts

• Short-Term and Long-Term Disability Insurance

• Tuition Reimbursement, Personal Development, and Learning Opportunities

• Skills Development and Certifications

• Employee Referral Program

• Corporate-sponsored Events and Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is committed to diversity and equal opportunity in employment. We welcome applicants from all backgrounds and identities, including race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider 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 require an accommodation for the application process, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information provided will be kept confidential and used only to provide necessary reasonable accommodation.

Please note that Guidehouse does not accept unsolicited resumes from search firms or staffing agencies, and any unsolicited resumes will become the property of Guidehouse and will not be subject to a placement fee.