Patient Accounts Representative
3 weeks ago
74843BRJob Posting Title:Patient Accounts RepresentativeDepartment:Finance-Government PayorsAutoReqId:74843BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:In accordance with government regulations and hospital policies, provides positive and effective customer service that supports departmental, foundation and hospital operations Manages daily assignments using standardized protocols and work drivers. Ensures required demographic, insurance, referral/authorization and clinical, data is collected, verified, and communicated appropriately. Coordinates activities with specific physician offices, service sites and ancillary departments. Prepares and submits accurate insurance claims to payer within proper timeframes. Works payer scrubber and denial reports in an effective and timely manner. Ensures prompt resolution of outstanding insurance claims. Identifies trends, denials, issues impacting account resolution or workload and refers as appropriate. Maintains a basic understanding of 3rd party payer contracts.
The Patient Accounts Representative will :
Collect, verify, and record all demographic information required for financial pre-processing of patients.
+ Verify insurance eligibility utilizing available technologies, payer websites, or by phone contact with third-party payers
+ Ensure that the correct insurance company name, address, plan, and filing order are recorded in the patient accounting system
+ Utilize payer exception reports to update coverage / PCP information
+ Contact clinical departments and PCP offices to secure referrals and enter into the patient accounting system
+ Document all actions taken on account with clear and concise account notes
+ Participate in process improvement opportunities
Billing and Collection:
Prepare and submit accurate insurance claims to the payer within proper timeframes. Accept, reject, and reconcile claim runs daily. Ensure prompt resolution of outstanding insurance claims
+ Effectively works payer scrubber and denial reports daily
+ Review claims for accuracy and correct errors as needed
+ Collaborate with referral/authorization staff to resolve issues
+ Update demographic and coverage information as needed
+ Resolve claims processing issues with 3rd party payers and provides all requested information timely; engaging patients and family members to resolve claim or insurance issues when needed
+ Provide documentation to have claims processed and paid. Research, prepare, and provide 3rd party payer appeals. Request account adjustments in accordance with payer contractual agreements
+ Document all actions taken on account with clear and concise account notes and maintains billing logs as required
+ Prepare reports as required. Monitor and identify trends, denial / claim errors by payer and refer as appropriate
+ Maintain a thorough understanding of 3rd party payer contracts
To qualify, you must have:
+ A high school diploma
+ Previous experience in a medical billing setting, preferably on an automated system is preferred
+ The ability to exchange information on factual matters. Interaction requires courtesy and tact when dealing with patients, hospital employees and third parties
+ Fluency in oral and written English, with emphasis on communication skills and ability to document records
+ The ability to work with diverse internal and external constituencies
+ Excellent attention to detail, good organizational skills, ability to meet priorities within set timeframes, and ability to work as part of a team
Boston Childrens Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
LI-Remote Office/Site Location:BostonRegular, Temporary, Per Diem:Regular Remote Eligibility :Part Remote/Hybrid
-
Patient Accounts Representative
3 weeks ago
Boston, United States MassCPAs Full timeJob Summary In accordance with government regulations and hospital policies, provides positive and effective customer service that supports departmental, foundation and hospital operations Manages daily assignments using standardized protocols and work drivers. Ensures required demographic, insurance, referral/authorization and clinical, data is collected,...
-
Boston, United States Dana-Farber Cancer Institute Full timeJob ID:39875Location:10 Brookline Place West, Brookline, MA 02445 Category:Finance/AccountingEmployment Type:Full timeWork Location:Remote: occasional time on campusOverview The work location for this position is full remote, however the selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT)The primary...
-
Patient Finance Representative
3 weeks ago
Boston, United States Boston Children's Hospital Full time75262BR - Finance-Patient Access Center **Job Posting Description** - This position ensures that all required demographic, insurance, and referral data is collected, verified, entered and communicated appropriately. Collaborates with physician offices, service sites, ancillary departments, and insurance representatives to proactively complete patient...
-
Patient Accts Representative
5 days ago
Boston, United States Southcoast Health System Full timeOverviewFind out for yourself why Southcoast Health has been voted 'Best Place to Work' for 6 years in a row! Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it. Southcoast Health is a...
-
Patient Access Representative
2 months ago
Boston, Massachusetts, United States East Boston Neighborhood Health Center Full timeThank you for your interest in careers at EBNHCEverywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the...
-
Patient Access Representative
3 weeks ago
Boston, Massachusetts, United States East Boston Neighborhood Health Center Full timeThank you for your interest in careers at EBNHCEverywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the...
-
Patient Access Representative
2 months ago
Boston, United States East Boston Neighborhood Health Center Full time $18 - $22Patient Access Representative Full time, Benefit eligible Monday-Friday 8am-5pm and could include evening, weekend or holiday rotations Bilingual (English/Spanish)The Patient Access Representative is expected to make all patients feel welcome, over the phone or in person, while capturing comprehensive and accurate information. Primarily performs all...
-
Patient Access Representative
3 weeks ago
Boston, United States East Boston Neighborhood Health Center Full time $18 - $22Patient Access Representative Full time, Benefit eligible Monday-Friday 8am-5pm and could include evening, weekend or holiday rotations Bilingual (English/Spanish)The Patient Access Representative is expected to make all patients feel welcome, over the phone or in person, while capturing comprehensive and accurate information. Primarily performs all...
-
Patient Accounts Supervisor
3 days ago
Boston, United States Boston Children's Hospital Full time75299BR - Finance-Government Payors **Job Posting Description** - Supervises the daily operations of the staff for all related functions of billing, collections, authorization and referrals. Ensures that all patient encounters are accurate and billed in a timely manner, by the most efficient means possible and according to the hospital's Credit and...
-
Patient Accounts Supervisor
3 weeks ago
Boston, United States Children's Hospital Boston Full time75299BRJob Posting Title:Patient Accounts SupervisorDepartment:Finance-Government PayorsAutoReqId:75299BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:Supervises the daily operations of the staff for all related functions of billing, collections, authorization and referrals. Ensures that all patient encounters...
-
Patient Access Representative
3 weeks ago
Boston, Massachusetts, United States Mattapan Community Health Center Inc Full time:POSITION DESCRIPTION POSITION: Patient Access Representative DEPARTMENT: Patient Services LOCATION: 1575 Blue Hill Avenue, Mattapan, MA 02126 REPORTS TO: Manager of Patient Services TYPE: Full -Time: Experienced SALARY: Open Summary:The Patient Access Representative (PAR) is the first person with whom a patient or family member will interact, either upon...
-
Patient Access Representative
4 weeks ago
Boston, United States Mattapan Community Health Center Inc Full timeDescription:POSITION DESCRIPTION POSITION: Patient Access Representative DEPARTMENT: Patient Services LOCATION: 1575 Blue Hill Avenue, Mattapan, MA 02126 REPORTS TO: Manager of Patient Services TYPE: Full -Time: Experienced SALARY: Open Summary:The Patient Access Representative (PAR) is the first person with whom a patient or family member will interact,...
-
Patient Access Representative
3 weeks ago
Boston, United States Mattapan Community Health Center Inc Full timeDescription:POSITION DESCRIPTION POSITION: Patient Access Representative DEPARTMENT: Patient Services LOCATION: 1575 Blue Hill Avenue, Mattapan, MA 02126 REPORTS TO: Manager of Patient Services TYPE: Full -Time: Experienced SALARY: Open Summary:The Patient Access Representative (PAR) is the first person with whom a patient or family member will interact,...
-
Patient Access Representative
1 week ago
Boston, Massachusetts, United States East Boston Neighborhood Health Center Full timeThank you for your interest in careers at EBNHCEverywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the...
-
Patient Accounts Supervisor
3 weeks ago
Boston, United States Boston Children's Hospital Full timeJob Posting Description Supervises the daily operations of the staff for all related functions of billing, collections, authorization and referrals. Ensures that all patient encounters are accurate and billed in a timely manner, by the most efficient means possible and according to the hospital's Credit and Collection Policy. The Patient Accounts Supervisor...
-
Patient Access Representative
1 week ago
Boston, Massachusetts, United States Mattapan Community Health Center Inc Full time:POSITION DESCRIPTIONPOSITION:Patient Access RepresentativeDEPARTMENT:Patient ServicesLOCATION: 1575 Blue Hill Avenue, Mattapan, MA 02126REPORTS TO:Manager of Patient ServicesTYPE:Full -Time: ExperiencedSALARY:Open Summary:The Patient Access Representative (PAR) is the first person with whom a patient or family member will interact, either upon arrival or...
-
Patient Access Representative
3 weeks ago
Boston, Massachusetts, United States Mattapan Community Health Center Inc Full time:POSITION DESCRIPTIONPOSITION:Patient Access RepresentativeDEPARTMENT:Patient ServicesLOCATION: 1575 Blue Hill Avenue, Mattapan, MA 02126REPORTS TO:Manager of Patient ServicesTYPE:Full -Time: ExperiencedSALARY:Open Summary:The Patient Access Representative (PAR) is the first person with whom a patient or family member will interact, either upon arrival or...
-
Patient Access Representative
1 week ago
Boston, Massachusetts, United States East Boston Neighborhood Health Center Full timeDescription: As a customer service expert, you are a liaison for all patients seeking services at EBNHC. As a member of the Patient Access Team you will be expected to interact in a professional, friendly and welcoming manner wile capturing accurate information in order to provide a superior customer experience. The Patient Access Representative will be...
-
Patient Access Representative
4 weeks ago
Boston, United States East Boston Neighborhood Health Center Full timeDescription: As a customer service expert, you are a liaison for all patients seeking services at EBNHC. As a member of the Patient Access Team you will be expected to interact in a professional, friendly and welcoming manner wile capturing accurate information in order to provide a superior customer experience. The Patient Access Representative will...
-
Patient Access Representative
3 weeks ago
Boston, United States NeighborHealth Full time**Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!**: Everywhere you turn, you can feel the immeasurable level of enthusiasm here at NeighborHealth! We are one of the largest community health centers in the country, supporting the greater Boston area and focusing on the well-being of our patients and...
