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Patient Access Representative
2 months ago
We are seeking a highly skilled and detail-oriented Patient Access Representative to join our team at BayMark Health Services. As a Patient Access Representative, you will play a critical role in ensuring the smooth operation of our medical office, providing exceptional patient care, and maintaining accurate records.
Key Responsibilities:- Administrative Tasks: Perform various administrative tasks with a keen eye for detail, including reviewing, maintaining, and processing fiscal/account records and transactions related to patient accounts.
- Insurance Verification: Verify insurance benefits and billing information by terminal and/or telephone, annotating 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, resolving issues with payment and billing, authorization process.
- Reconciliation and Reporting: Reconcile daily money collected, forward information as appropriate to expedite payment, and maintain accurate accounts, including required signatures, proper account annotation, current demographics, and correspondence.
- Authorization and Billing: Insure completion of pre-authorization process by inquiry and referral to clinician, monitor insurance authorizations and claim rejections, and maintain fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patients' accounts.
- Patient Communication: 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.
- Confidentiality and Compliance: Maintain confidentiality of patient records and assist with archiving discharged files, including archiving.
- Additional Duties: Respond appropriately to requests for information regarding accounts from payer, attorney, and others, and backup Receptionist as needed by checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
- Education and Experience: High school diploma or equivalent with at least 2 years prior experience in a medical office setting, 2-4 years experience with Medicaid and PAC and commercial insurance (preferred).
- Skills and Qualifications: 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.
- Personal Qualities: 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.
- Competitive Salary: We offer a competitive salary and comprehensive benefits package, including medical, dental, vision, and 401(K).
- Generous Paid Time Off: Enjoy generous paid time off accrual and excellent growth and development opportunities.
- COVID-19 Considerations: Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County, and City.
