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Full Time Patient Access Representative
3 months ago
- Review, maintain, and process fiscal/account records and transactions related to patients accounts.
- Verify insurance benefits and billing information by terminal and/or telephone. Annotate accounts with insurance coverage and estimated patient shares.
- Contact third party payers (insurance providers and state/federal agencies) for payment post billing.
- Resolve issues with payment and billing, authorization process.
- Reconcile daily money collected.
- Forward information as appropriate to expedite payment.
- Maintain accurate accounts, i.e. required signatures, proper account annotation, current demographics, and correspondence.
- Insure completion of pre-authorization process by inquiry and referral to clinician.
- Monitor insurance authorizations and claim rejections.
- Maintains fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patients accounts.
- Perform tasks consistent with authorization and billing requirements.
- Contact patients for payment of account or payment arrangements according to current policy.
- Manage revenue cycle, production logs, balances and collections for self-pay clients.
- Maintain confidentiality of patient records.
- Assists with archiving discharged files, including archiving
- Respond appropriately to requests for information regarding accounts from payer, attorney, and others.
- Backup Receptionist as needed by: Checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
- Other duties, as assigned.
- High school diploma or equivalent with at least 2 years prior experience in a medical office setting.
- 2-4 years experience with Medicaid and PACand commercial insurance (preferred)
- Excellent customer service skills and professional public presentation skills, including telephone etiquette.
- Knowledge of medical insurance claims procedures, documentation and records maintenance.
- Knowledge of medical billing procedures, gather and compile data into reports.
- Proficient in basic PC skills. Microsoft Word and Excel preferred.
- Ability to communicate effectively, both orally and in writing.
- Self-directed with the ability to work with little supervision.
- Ability to understand and follow oral and written directions, establish and maintain effective working relationships with patients, program management, medical staff, counselors and peers.
- Ability to work with a diverse population, manage stressful situations and exhibit excellent customer service skills.
- Satisfactory drug screen and criminal background check.
- Competitive salary
- Comprehensive benefits package including medical, dental, vision and 401(K)
- Generous paid time off accrual
- Excellent growth and development opportunities
- Satisfying and rewarding work striving to overcome the opioid epidemic
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