Patient Access Representative
4 weeks ago
We are seeking a highly organized and detail-oriented Patient Access Representative to join our team at BayMark Health Services. As a Patient Access Representative, you will be responsible for performing various administrative tasks with a keen eye for detail. Your primary responsibility will be patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of a variety of problems.
Key Responsibilities:
- Review, maintain, and process fiscal/account records and transactions related to patient 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 patient 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 PAC and 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.
Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County, and City.
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