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Fiscal Clerk/Patient Account Representative/Full Time Front Desk

2 months ago

Woburn, Massachusetts, United States BayMark Health Services Full time
Job Summary

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

Key Responsibilities
  • Administrative Tasks: Review, maintain, and process 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.
  • 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, including required signatures, proper account annotation, current demographics, and correspondence.
  • Pre-Authorization: Insure completion of pre-authorization process by inquiry and referral to clinician.
  • Insurance Monitoring: Monitor insurance authorizations and claim rejections.
  • Fiscal Record Keeping: 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.
  • Administrative Support: 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.
Requirements
  • 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)
  • Skills: Excellent customer service skills and professional public presentation skills, including telephone etiquette.
  • Knowledge: 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.
  • Cultural Competence: Ability to work with a diverse population, manage stressful situations, and exhibit excellent customer service skills.
  • Credentials: Satisfactory drug screen and criminal background check.
Benefits
  • Salary: Competitive salary
  • Benefits Package: Comprehensive benefits package including medical, dental, vision, and 401(K)
  • Paid Time Off: Generous paid time off accrual
  • Professional Growth: Excellent growth and development opportunities
  • Job Satisfaction: Satisfying and rewarding work striving to overcome the opioid epidemic