Patient Access & Billing Specialist

BayMark Health Services, Inc.; Greenfield (MA); On-site; USD 46,000 - 50,000; Full time

Benefits offered by this job

401K match

Medical, Dental, Vision Insurance

Voluntary Worksite Benefits

Short & Long Term Disability

Basic Life Insurance

Paid Time Off

Bereavement Leave

Flexible Sick Time

Employee Referral Program

BayMark Perks Program

Jury Duty & Witness Duty Leave

BayMark University Learning

Job summary

BayMark Health Services, Inc. in Massachusetts is seeking a diligent Patient Access Representative / Patient Account Representative to handle patient billing, insurance verification, and account management in a busy outpatient setting.

The role emphasizes revenue cycle tasks, payer follow-ups, payment arrangements, and maintaining accurate patient records with a strong focus on customer service and confidentiality.

Qualifications

• 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.

Responsibilities

• Review, maintain, and process fiscal/account records and transactions related to patient’s 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’s 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.

Skills

Customer service

Medical billing

Insurance verification

Data entry

Communication

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

BayMark Health Services, Inc. in Massachusetts is seeking a diligent Patient Access Representative / Patient Account Representative to handle patient billing, insurance verification, and account management in a busy outpatient setting.

The role emphasizes revenue cycle tasks, payer follow-ups, payment arrangements, and maintaining accurate patient records with a strong focus on customer service and confidentiality.