Patient Access Representative

BayMark Health Services; Greenfield (MA); On-site; USD 26,000 - 36,000; Full time

Benefits offered by this job

401K match

Medical, Dental, Vision Insurance

Paid Time Off

Bereavement Leave

Flexible Sick Time

Employee Referral Program

BayMark University Learning

Job summary

Health Care Resource Center, a progressive outpatient clinic, is seeking a Full Time Patient Access Representative / Patient Account Representative. You will review, maintain, and process patient accounts, verify insurance benefits, and post payments with a focus on accurate billing and timely collection.

The role requires strong customer service, familiarity with Medicaid and private insurance, and proficient PC skills.

Qualifications

• High school diploma or equivalent with at least 2 years’ prior medical office experience.
• 2-4 years’ experience with Medicaid and PAC and commercial insurance (preferred).
• Excellent customer service skills and professional presentation, including telephone etiquette.
• Knowledge of medical insurance claims procedures, documentation and records maintenance.
• Knowledge of medical billing procedures, data reporting and basic PC skills.

Responsibilities

• Review, maintain, and process fiscal/account records and transactions related to patient’s accounts.
• Verify insurance benefits and billing information; annotate accounts with coverage and estimated patient shares.
• Contact third party payers for payment post billing and resolve billing issues.
• Maintain accurate accounts with signatures, demographics, and correspondence.
• Monitor authorizations and claim rejections; assist with pre-authorization processes.

Skills

Customer service

Medical billing

Communication skills

PC skills

Attention to detail

Interpersonal skills

Education

High school diploma

Tools

Microsoft Word

Excel

Job description

Description

Position at Health Care Resource Centers
Full Time - Patient Access Representative / Patient Account Representative

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 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.

Salary Range

Salary $22.50 an hour.

The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty, and training.

BayMark Offers Excellent Benefits

• 401K match
• Medical, Dental, Vision Insurance
• Voluntary Worksite Benefits (i.e., Accidental Injury)
• Company paid Short & Long Term Disability
• Company paid 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

Total compensation goes beyond the value on the paycheck. Please consider the total compensation package by contacting us at BayMark Health Services for more information.

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 Center is 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.