Patient Access Representative

BayMark Health Services; Lufkin (TX); On-site; USD 36,000 - 52,000; Full time

Job summary

MedMark Treatment Centers in Texas is seeking a dedicated Full Time Patient Access Representative / Patient Account Representative to manage billing and account accuracy in a fast-paced outpatient clinic.

You will verify insurance, process billing, contact payers, resolve payment issues, and maintain confidential records while supporting patient access and front desk needs.

Qualifications

• High school diploma or equivalent with at least 2 years’ prior experience in a medical office.
• 2-4 years’ experience with Medicaid, PAC, and commercial insurance preferred.
• Excellent customer service skills and professional public presentation, including telephone etiquette.
• Knowledge of medical insurance claims procedures, documentation and records maintenance.
• Knowledge of medical billing procedures and reporting.
• Proficient PC skills; Word and Excel preferred.
• Ability to communicate effectively, both orally and in writing.
• Self-directed with minimal supervision.
• Ability to work with diverse populations and manage stressful situations.
• Satisfactory drug screen and criminal background check.

Responsibilities

• Review, maintain, and process patient account records.
• Verify insurance benefits and billing information by terminal and/or telephone.
• Contact third party payers for payment posting.
• Resolve issues with payment and billing, authorization process.
• Reconcile daily money collected.
• Forward information as appropriate to expedite payment.
• Maintain accurate accounts, including demographics and correspondence.
• Insure completion of pre-authorization process by inquiry and referrals.
• Monitor insurance authorizations and claim rejections.
• Maintain fiscal records and worksheets for calculations and verifications.
• Submit payment requests from patients and arrange payments per policy.
• Manage revenue cycle and collections for self-pay clients.
• Maintain confidentiality of patient records.
• Assist with archiving discharged files.
• Respond to requests from payer, attorney, and others.
• Backup Receptionist duties: check-in, payments, phones, scheduling, data entry.
• Other duties as assigned.

Skills

Customer service

Telephone etiquette

Effective communication

Attention to detail

Medical billing

Data reporting

Time management

Self-directed

Teamwork

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Job description

Description

Full Time - Patient Access Representative / Patient Account Representativeresentative

MedMark Treatment Centers is 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 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.

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

MedMark Treatment Centers, a progressive substan ce 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.

MedMark Treatment Centers 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.