Patient Access Representative

4 weeks ago


Topeka, Kansas, United States BayMark Health Services Full time
Job Summary:

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.
Requirements:
  • 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.
Benefits:
  • 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.
COVID-19 Considerations:
Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County, and City.

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