Patient Access Representative

MedMark Treatment Centers; Morgantown (WV); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Comprehensive benefits package

Generous paid time off

Growth and development opportunities

Job summary

MedMark Treatment Centers is hiring a Patient Access Representative in Morgantown, West Virginia. The role involves managing patient billing processes, verifying insurance information, and resolving payment issues.

Qualified candidates should have a high school diploma and at least two years of experience in a medical office. Excellent customer service skills are essential, along with proficiency in Microsoft Office. The position offers a competitive salary and comprehensive benefits.

Qualifications

• 2–4 years of experience with commercial insurance preferred.
• Ability to manage stressful situations and exhibit excellent customer service.
• Successful completion of drug screen and background check.

Responsibilities

• Review and process patient account records and transactions.
• Verify insurance benefits and billing information.
• Contact third-party payers for payment post billing.
• Resolve billing issues and reconcile daily collections.
• Maintain confidentiality of patient records.

Skills

Customer-service skills

Knowledge of medical insurance claims procedures

Proficient in Microsoft Word and Excel

Communication skills

Education

High school diploma or equivalent

Experience in medical office setting (2 years)

Job description

MedMark Treatment Centers is looking for a hard‑working and conscientious Patient Access Representative / Patient Account Representative to perform various administrative tasks. The individual will primarily be 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 and 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, including the authorization process.
• Reconcile daily money collected.
• Forward information as appropriate to expedite payment.
• Maintain accurate accounts, including required signatures, proper account annotation, current demographics, and correspondence.
• Ensure completion of pre‑authorization process by inquiry and referral to clinician.
• Monitor insurance authorizations and claim rejections.
• Maintain 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.
• Assist with archiving discharged files.
• Respond appropriately to requests for information regarding accounts from payer, attorney, and others.
• Backup receptionist as needed: check in patients, collect payments, answer phones, schedule intakes, and perform data entry.
• Other duties as assigned.

Qualifications

• High school diploma or equivalent with at least 2 years of prior experience in a medical office setting.
• 2-4 years of experience with Medicaid, 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 and ability to 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.
• Successful completion of a 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.

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.