Patient Access Representative

BayMark Health Services; Newington (NH); On-site; USD 40,000 - 60,000; Full time

Job summary

Eine engagierte und detailorientierte Person wird gesucht, um als Patient Access Representative in einem innovativen Gesundheitsdienstleister zu arbeiten. In dieser Rolle sind Sie für die Verwaltung von Patientenabrechnungen und die Verifizierung von Rechnungen verantwortlich. Sie werden mit verschiedenen Stakeholdern zusammenarbeiten, um sicherzustellen, dass alle Zahlungen und Genehmigungen reibungslos ablaufen. Wenn Sie in einem dynamischen Umfeld arbeiten möchten, das sich für die Genesung von Opioidabhängigkeit einsetzt, ist dies die perfekte Gelegenheit für Sie. Nutzen Sie Ihre Fähigkeiten im Kundenservice und Ihre Kenntnisse im Gesundheitswesen, um einen echten Unterschied zu machen.

Benefits

Wettbewerbsfähiges Gehalt

Umfassende Leistungen (medizinisch, zahnärztlich, vision)

Bezahlte Freizeit

Wachstums- und Entwicklungsmöglichkeiten

Qualifications

• 2+ Jahre Erfahrung in einer medizinischen Büroumgebung.
• Kenntnisse über Medicaid, PAC und kommerzielle Versicherungen sind bevorzugt.

Responsibilities

• Verwalten und Verarbeiten von Konten und Rechnungen der Patienten.
• Überprüfen und Verifizieren von Versicherungsleistungen und Rechnungsinformationen.

Skills

Kundenservice

Kommunikationsfähigkeiten

Kenntnisse über medizinische Versicherungsansprüche

PC-Kenntnisse

Education

High School Diplom oder gleichwertig

Tools

Microsoft Word

Microsoft Excel

Job description

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Description

Full Time Patient Access Representative / Patient Account Representative at Health Care Resource Center is looking for a dedicated and detail-oriented Patient Access Representative/Patient Account Representative to perform various administrative tasks. The role primarily involves patient billing, invoice verification, maintenance of third-party billing records, and problem resolution.

Responsibilities:

1. Review, maintain, and process fiscal/account records and transactions related to patient accounts.
2. Verify insurance benefits and billing information via terminal and/or telephone. Annotate accounts with insurance coverage and estimated patient shares.
3. Contact third-party payers (insurance providers and government agencies) for payment posting.
4. Resolve issues related to payment, billing, and authorization processes.
5. Reconcile daily collected funds.
6. Forward information to expedite payment processes.
7. Maintain accurate account records, including signatures, demographics, and correspondence.
8. Ensure completion of pre-authorization processes through inquiries and referrals.
9. Monitor insurance authorizations and claim rejections.
10. Maintain fiscal records and worksheets for calculations, extensions, and verifications.
11. Perform tasks in accordance with billing and authorization requirements.
12. Contact patients for payments or payment arrangements as per policy.
13. Manage revenue cycle, production logs, balances, and collections for self-pay clients.
14. Maintain confidentiality of patient records.
15. Assist with archiving discharged files.
16. Respond to account information requests from payers, attorneys, and others.
17. Backup Receptionist duties as needed: check-in patients, collect payments, answer phones, schedule, and data entry.
18. Perform other duties as assigned.

Qualifications:

1. High school diploma or equivalent; 2+ years experience in a medical office setting.
2. 2-4 years experience with Medicaid, PAC, and commercial insurance (preferred).
3. Excellent customer service and professional communication skills, including telephone etiquette.
4. Knowledge of medical insurance claims procedures, documentation, and record maintenance.
5. Proficiency in basic PC skills; Microsoft Word and Excel preferred.
6. Effective communication skills, both oral and written.
7. Self-directed with minimal supervision.
8. Ability to follow oral and written instructions and establish effective relationships with patients and staff.
9. Ability to work with diverse populations, manage stress, and provide excellent customer service.
10. Satisfactory drug screen and criminal background check.

Benefits:

1. Competitive salary
2. Comprehensive benefits including medical, dental, vision, and 401(K)
3. Paid time off
4. Growth and development opportunities
5. Rewarding work in opioid epidemic recovery

About Us:

Health Care Resource Center is committed to high-quality outpatient care for opioid use disorder, aiming for long-term recovery and improved quality of life. We value diversity and are an Equal Employment Opportunity employer.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industry: Hospitals and Healthcare