Guidehouse, a "next-generation consultancy" and a portfolio company of Veritas Capital, provides management, risk consulting, and technology services to help cl
Patient Account Representative - Patient Collections
Location
California
Posted
16 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Patient Account Representative - Patient Collections
Guidehouse
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VP, Consumer Collections Pod Leader
Bayview Asset ManagementFounded in 1993, Bayview Asset Management is an investment management firm focused on investments in mortgage and consumer credit, including whole loans, asset-backed securities, mortgage servicing rights, and other credit-related assets.
Role Description The Consumer Collections Pod Leader will build and run a new consumer collections channel from scratch within our servicing platform. This is a hands-on, “player-coach” role responsible for day-to-day collections execution (including making calls) while also owning channel performance, strategy, staffing, controls, and reporting. This leader will develop the operating model, establish compliant workflows, manage KPIs, and run the pod P&L against agreed performance goals. The role requires strong operational leadership, rigorous compliance discipline, and the ability to implement a scalable collections program for delinquent consumer installment loans (home improvement and solar). Key Responsibilities - Build & Launch (0–90 days) - Develop and oversee schedules, training cadence, call scripts/letters, and daily operating rhythm. - Partner with Compliance/Legal to implement a compliant collections framework (contact governance, disputes/validation, complaints, TCPA/consent, state-specific requirements). - Work with IT/Data to configure queues, segmentation, dialer rules, suppression logic, call recording/retention, and reporting. - Create and maintain the pod runbook: procedures, escalation paths, QA scorecards, and change control process. - Operations & Leadership - Build and scale the team: Recruit, onboard, and ramp collectors over time; maintain coverage planning (shifts, queues, peak periods) and ensure the pod has the right mix of skills (early/mid/late-stage, bilingual, escalations). - Mentor and develop talent: Establish ongoing coaching, career paths, and performance development plans; run regular 1:1s, call calibrations, and peer-learning sessions to strengthen quality, compliance discipline, and conversion outcomes. - Lead daily standups, queue management, and escalations; ensure consistent execution and documentation. - Coach collectors through call calibrations, QA feedback loops, and performance management. - Personally handle high-value/escalated borrower cases and participate in outbound calling as needed. - Ensure robust complaint/dispute handling and timely resolution in coordination with Compliance. - Strategy & Performance (P&L Ownership) - Own channel KPIs: RPC, PTP/kept PTP, cures, roll rates, cash collections, QA scores, complaints. - Develop segmentation and treatment strategies (cadence, channel mix, scripts, settlement parameters within authority). - Build and manage the channel budget: staffing, technology, vendors (dialer/SMS/letters), and cost-to-collect. - Provide weekly/monthly executive reporting, insights, and recommendations (what’s working, what’s not, and why). - Governance & Controls - Enforce compliance “no deviation” standards; ensure collectors operate within authority and controls. - Maintain audit-ready documentation: approvals, training attestations, monitoring evidence, issue logs, and remediation actions. - Support vendor oversight if hybrid model is used (agency placements, performance SLAs, audits). Qualifications - 5–10+ years in consumer collections/servicing operations, including leadership responsibility. - Demonstrated experience building or scaling a collections team/channel (process + people + KPIs). - Strong working knowledge of compliant collections operations (FDCPA-like standards, TCPA/consent, disputes, complaint handling, call recording governance). - Proven ability to operate in a controlled environment with documentation, QA, and change control. - Strong analytical skills: KPI management, segmentation, and unit economics (cost-to-collect, P&L levers). Preferred Qualifications - Experience in first-party servicing environments (fintech, consumer lender, loan servicer). - Experience with unsecured installment products; home improvement/solar a plus. - Exposure to multi-state operations and licensing constraints. - Vendor management experience (dialer/SMS providers, letter vendors, agencies). - Bilingual (Spanish/English) a plus. Core Competencies - Player-coach mentality; can execute and lead simultaneously. - Compliance-first operator with strong judgment and escalation discipline. - Data-driven; can translate metrics into actions and improvements. - Change agent; comfortable building from ambiguity and iterating quickly. - Strong stakeholder management across Compliance, Legal, IT, Finance, and Client teams. EEOC Bayview is an Equal Employment Opportunity employer. All aspects of consideration for employment and employment with the Company are governed on the basis of merit, competence and qualifications without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, or any other category protected by federal, state, or local law.
Role Description Join a team where your work truly matters. As a Collections Specialist, you will play a key role in supporting financial health for our patients and organization. You will be responsible for: - Managing Self-Pay Collections - Ensuring timely and accurate payment of claims - Handling in-bound patient calls - Reviewing co-pay assistance claims The ideal candidate will have: - Strong customer service skills - Communication and critical thinking skills - Experience working in a fast-paced environment This role involves: - Investigating accuracy and account review with the goal of resolving discrepancies and maximizing reimbursement - Prior knowledge of home infusion, medical billing practices, and payer reimbursement guidelines is preferred - Attention to detail, the ability to work independently, and proficiency with Microsoft 365 - Experience with ICD-10, CPT-4, HCPCS, and medical terminology is preferred Qualifications - High school diploma or equivalent - Knowledge of Microsoft 365 products, including but not limited to Outlook, Teams, and Excel - Minimum of 1–2 years of experience in billing, collections, or related field - Excellent interpersonal, organizational, communication and effective critical thinking skills - Strong customer service - Maintain confidentiality and practice discretion and caution when handling sensitive information - Ability to read and interpret an EOB for accurate understanding of claim processing Preferred: - HCN360 and CPR+ knowledge - Experience with ICD-10, CPT-4, HCPCS, and medical terminology - Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due - Prior knowledge of home infusion If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Requirements - Support accurate and timely billing and collections to reduce outstanding balances - Manage assigned book of business: Transfer of balance due, charging of patient ACH and Credit Card and one-time credit cards for copay assistance payments, and contractual adjustments requests of accounts - Contacting patients or payers as appropriate - Review accounts with patients and resolve questions or transfer to appropriate staff member - Partner with copay assistance programs and internal teams to resolve payment and billing issues - Review claim processing to determine proper payment has been issued - Accurately identify adjustments needed and take proper action to prevent further adjustments - Identify trends or payment challenges and take action to support resolution and prevent future issues - Review and analyze reports to track account activity and highlight opportunities for improvement - Ensure all work meets quality assurance and benchmark standards set by the management team - Work independently and as part of a team - Documents all collections activity in patient collections notes and AR Reports - Review patient unapplied account and verify accuracy of payment prior to posting to the correct open account receivable Company Description Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Role Description We are seeking an experienced and detail-oriented Remote Biller with strong knowledge of Skilled Nursing Facility (SNF) billing and familiarity with Fresno-area payers. This is a great opportunity to join a supportive team while working remotely in a fast-paced healthcare environment. The Biller is responsible for managing the full cycle of billing and collections for a skilled nursing facility, ensuring accuracy, compliance, and timely reimbursement from Medicare, Medi-Cal/Medicaid, managed care, and private payers. Key Responsibilities - Manage Medicare, Medi-Cal/Medicaid, HMO, and private pay billing processes - Submit claims accurately and timely in accordance with payer guidelines - Follow up on outstanding accounts receivable and denied claims - Work closely with facility staff to ensure accurate census and payer information - Review and reconcile billing reports and documentation - Maintain compliance with federal, state, and payer regulations - Communicate with insurance companies and resolve billing discrepancies - Assist with month-end close and reporting - Ensure accurate documentation to support billing and reimbursement - Stay current on payer requirements and regulatory changes Qualifications - Experience with Skilled Nursing Facility (SNF) billing - Familiarity with Fresno-area payers strongly preferred - Knowledge of Medicare, Medi-Cal/Medicaid, managed care, and private insurance billing - Strong accounts receivable and collections experience - Experience with billing software and EHR systems (PointClickCare preferred) - Excellent attention to detail and organizational skills - Ability to work independently in a remote environment - Strong communication and problem-solving skills Benefits - Competitive pay - Fully remote opportunity - Stable and supportive team environment - Opportunity to work with experienced healthcare professionals - Growth potential within the organization Company Description We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.
Medical Surgery Scheduler / AR Collections Specialist
Remote Employee PHThis organization supports real estate investment managers and family offices in scaling their operations with confidence. Based in Los Angeles, it serves as a full-service accounting and operations partner, working closely with client teams to provide reliable financial and operational support. Its approach focuses on precision, flexibility, and cost efficiency—helping clients manage complex investment structures while maintaining focus on growth. Backed by leadership with Big 4 experience and extensive industry expertise, it delivers scalable solutions that minimize overhead, ensure continuity, and meet critical deadlines.
Role Description We are seeking an experienced and detail-oriented Medical Surgery Scheduler / A/R Collections Specialist to support a busy U.S.-based healthcare facility. This role will be responsible for coordinating surgical procedures and pre-operative appointments while also assisting with medical billing, insurance follow-up, and accounts receivable collections. The ideal candidate has prior experience working with U.S. healthcare providers, strong communication skills, and a solid understanding of medical scheduling, insurance processes, and A/R follow-up. Responsibilities / Job Duties: - Surgery Scheduling - Schedule surgeries, procedures, and pre-operative appointments - Coordinate schedules with physicians, nursing staff, and anesthesia teams - Manage cancellations, reschedules, and schedule adjustments - Collect and update patient demographic and insurance information - Ensure scheduling accuracy based on physician and facility availability - Maintain organized and accurate scheduling records - Accounts Receivable / Collections - Follow up with insurance companies regarding unpaid or aging claims - Contact patients regarding outstanding balances and payment arrangements - Review outstanding A/R reports and document collection efforts - Submit supporting documentation required by insurance carriers - Monitor accounts and escalate aged balances when necessary - Assist with claim status checks and payment verification - Medical Billing Support - Verify insurance information and patient billing details - Assist with claim processing and billing-related inquiries - Handle billing calls from patients and insurance companies professionally - Maintain accurate documentation and records within the system Qualifications - Previous experience in U.S. healthcare administration required - Experience with surgery scheduling strongly preferred - Medical billing and A/R collections experience required - Familiarity with insurance verification and claims follow-up - ASC (Ambulatory Surgery Center) experience is a plus - Strong English communication skills, both written and verbal - Highly organized with strong attention to detail - Comfortable working in a fast-paced environment - Strong computer and multitasking skills Benefits - HMO plus 2 Free Dependents - P1,500 Rice Allowance - Night Differential (If applicable)



