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

Paid Time Off

Bereavement Leave

Flexible Sick Time

Employee Referral Program

Job summary

BayMark Health Services, Inc. is seeking a Patient Access Representative / Patient Account Representative to perform administrative tasks with a strong eye for detail.

The role focuses on patient billing, verifying invoices, and maintaining third-party billing records to resolve various issues. The position involves communicating with insurance providers, state/federal agencies, and patients to post payments, verify benefits, and ensure timely reimbursements.

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 PACand 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.

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

Attention to detail

Billing knowledge

Medicaid knowledge

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

Job description

BayMark Health Services, Inc. is seeking a Patient Access Representative / Patient Account Representative to perform administrative tasks with a strong eye for detail.

The role focuses on patient billing, verifying invoices, and maintaining third-party billing records to resolve various issues. The position involves communicating with insurance providers, state/federal agencies, and patients to post payments, verify benefits, and ensure timely reimbursements.