Patient Access Representative

The Regional Municipality of Durham; Greenfield (MA); On-site; USD 35,000 - 50,000; Full time

Job summary

The Health Care Resource Center seeks a dedicated Patient Access Representative to manage patient billing and insurance verification. This role requires attention to detail and excellent customer service skills to address billing issues and assist patients. Competitive salary and comprehensive benefits are offered in a supportive environment focused on patient care.

Benefits

Comprehensive benefits package

Generous paid time off

Excellent growth opportunities

Qualifications

• At least 2 years' prior experience in a medical office setting.
• Experience with Medicaid and commercial insurance preferred.
• Knowledge of medical billing procedures essential.

Responsibilities

• Review and process fiscal/account records related to patient accounts.
• Verify insurance benefits and billing information by terminal and/or telephone.
• Manage revenue cycle and collections for self-pay clients.

Skills

Customer service

Problem-solving

Communication

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Description

Full Time - Patient Access Representative / Patient Account Representative

Health Care Resource Centeris looking for hard-working and conscientious Patient Access Representative/ Patient Account Representative to perform various administrative tasks with a keen eye for detail. The patient account representative is primarily responsible for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems.

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.

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.
• 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

Here is what you can expect from us:

Health Care Resource Center,a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

Health Care Resource Centeris committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State/Federal laws.

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