Patient Access Representative

5 days ago

Portland, Maine, United States BayMark Health Services Full time
Job Summary

We are seeking a highly skilled and detail-oriented Patient Access Representative / Patient Account Representative to join our team at BayMark Health Services. As a key member of our healthcare team, you will be responsible for performing various administrative tasks with a keen eye for detail.

Responsibilities
  • Administrative Tasks: Review, maintain, and process fiscal/account records and transactions related to patients' accounts.
  • Insurance Verification: Verify insurance benefits and billing information by terminal and/or telephone. Annotate accounts with insurance coverage and estimated patient shares.
  • Third-Party Communication: Contact third-party payers (insurance providers and state/federal agencies) for payment post-billing.
  • Issue Resolution: Resolve issues with payment and billing, authorization process.
  • Reconciliation: Reconcile daily money collected.
  • Information Forwarding: Forward information as appropriate to expedite payment.
  • Account Maintenance: Maintain accurate accounts, i.e., required signatures, proper account annotation, current demographics, and correspondence.
  • Pre-Authorization: Insure completion of pre-authorization process by inquiry and referral to clinician.
  • Insurance Authorizations: Monitor insurance authorizations and claim rejections.
  • Fiscal Records: Maintains fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patients' accounts.
  • Authorization and Billing: Perform tasks consistent with authorization and billing requirements.
  • Patient Communication: Contact patients for payment of account or payment arrangements according to current policy.
  • Revenue Cycle Management: Manage revenue cycle, production logs, balances, and collections for self-pay clients.
  • Confidentiality: Maintain confidentiality of patient records.
  • Archiving: Assist with archiving discharged files, including archiving.
  • Information Requests: Respond appropriately to requests for information regarding accounts from payer, attorney, and others.
  • Receptionist Support: Backup Receptionist as needed by: Checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
Qualifications
  • Education: High school diploma or equivalent with at least 2 years prior experience in a medical office setting.
  • Experience: 2-4 years experience with Medicaid and PAC and commercial insurance (preferred).
  • Customer Service: Excellent customer service skills and professional public presentation skills, including telephone etiquette.
  • Medical Insurance: Knowledge of medical insurance claims procedures, documentation, and records maintenance.
  • Medical Billing: Knowledge of medical billing procedures, gather and compile data into reports.
  • Computer Skills: Proficient in basic PC skills. Microsoft Word and Excel preferred.
  • Communication: Ability to communicate effectively, both orally and in writing.
  • Self-Directed: Self-directed with the ability to work with little supervision.
  • Direction Following: Ability to understand and follow oral and written directions, establish and maintain effective working relationships with patients, program management, medical staff, counselors, and peers.
  • Diversity: Ability to work with a diverse population, manage stressful situations, and exhibit excellent customer service skills.
  • Criminal Background Check: Satisfactory drug screen and criminal background check.
Benefits
  • Competitive Salary: Competitive salary.
  • Comprehensive Benefits: Comprehensive benefits package including medical, dental, vision, and 401(K).
  • Paid Time Off: Generous paid time off accrual.
  • Growth Opportunities: Excellent growth and development opportunities.
  • Meaningful Work: Satisfying and rewarding work striving to overcome the opioid epidemic.

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