Patient Access & Billing Specialist

BayMark Health Services, Inc.; Port Angeles (WA); On-site; USD 24,000 - 28,000; Full time

Benefits offered by this job

401K match

Medical, Dental, Vision Insurance

Accident Injury, Hospital Indemnity

Short & Long Term Disability

Basic Life Insurance

Paid Time Off

Bereavement Leave

Flexible Sick Time

Employee Referral Program

Job summary

BAART Programs is seeking a skilled Patient Access Representative / Patient Account Representative to support outpatient billing, verify insurance, and maintain third-party records in a detail-oriented role.

The position requires a high school diploma with 2+ years in a medical office, Medicaid/PAC and commercial insurance experience preferred, strong customer service, and solid billing knowledge. We offer competitive benefits and a supportive team.

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

Medicaid experience

Billing procedures

Insurance verification

PC skills

Communication skills

Self-direction

Team collaboration

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

BAART Programs is seeking a skilled Patient Access Representative / Patient Account Representative to support outpatient billing, verify insurance, and maintain third-party records in a detail-oriented role.

The position requires a high school diploma with 2+ years in a medical office, Medicaid/PAC and commercial insurance experience preferred, strong customer service, and solid billing knowledge. We offer competitive benefits and a supportive team.